scholarly journals Emotion regulation difficulties interact with negative, not positive, emotional eating to strengthen relationships with disordered eating: An exploratory study

2020 ◽  
Author(s):  
Wesley R. Barnhart ◽  
Abby Braden ◽  
Ellysia Price

Disordered eating includes core eating disorder symptoms present in diverse populations. The extant literature has focused on associations between negative emotional eating and disordered eating to the exclusion of positive emotional eating. Emotion regulation may help explain relationships between emotional eating and disordered eating. Emotion regulation difficulties was examined as a moderator of relationships between negative and positive emotional eating and disordered eating including dietary restraint, eating, weight, and shape concerns, and global scores of disordered eating, a general index of disordered eating. A cross-sectional study was employed using a university student population in the United States. Participants completed surveys assessing negative (Dutch Eating Behavior Questionnaire; Emotional Appetite Questionnaire) and positive (Emotional Appetite Questionnaire) emotional eating, emotion regulation (Difficulties in Emotion Regulation Scale), and disordered eating (Eating Disorder Examination Questionnaire). Moderation analyses were calculated with emotion regulation difficulties as the moderator of relationships between negative and positive emotional eating and disordered eating. Across two separate measures of negative emotional eating, higher negative emotional eating was associated with higher weight concerns and global scores of disordered eating when emotion regulation difficulties was average and increased (+1 SD). Higher positive emotional eating was associated with lower dietary restraint and global scores of disordered eating when emotion regulation difficulties was decreased (-1 SD). Emotion regulation difficulties strengthened relationships between negative, not positive, emotional eating and disordered eating. Research and clinical implications for the contribution of emotional eating and emotion regulation on disordered eating are discussed.

2019 ◽  
Vol 38 (4) ◽  
pp. 321-342 ◽  
Author(s):  
Katherine Knauft ◽  
Shelby Ortiz ◽  
Elizabeth Velkoff ◽  
April Smith ◽  
Vrinda Kalia

Introduction: Grit is a personality trait that affords individuals the ability to push through challenging circumstances, suggesting tolerance of negative affect. In contrast, individuals with disordered eating are motivated to avoid negative affect. We speculated whether grit would buffer against disordered eating attitudes and behaviors, and conducted two studies to address this query. Method: Study 1 (N = 137) had participants from eating disorder treatment centers (n = 52) and adults from the community (n = 85). Disordered eating was assessed using the Eating Disorder Inventory. In Study 2, we tested whether emotion regulation strategy (i.e., cognitive reappraisal and expressive suppression) as an individual differences variable influenced the relation between grit and disordered eating within a community sample (N = 212). Disordered eating was assessed via the Eating Disorder Examination Questionnaire. In both studies, Grit-Consistency and Grit-Perseverance were measured using the Short Grit Scale. Results: Study 1 revealed that Grit–Consistency, not Grit–Perseverance, was associated with lower bulimia and body dissatisfaction scores. Further, moderation analysis indicated that this relation was consistent for both the clinical and community samples. Findings from Study 2 demonstrated that Grit–Consistency was inversely correlated with shape and weight concerns. Moderation regression analysis showed that elevated levels of expressive suppression attenuated the relation between Grit-Consistency and disordered eating. Discussion: Our work provides evidence that Grit-Consistency buffers against disordered eating. But elevated use of expressive suppression, a maladaptive emotion regulation strategy, eliminates the benefits of grit.


2020 ◽  
Author(s):  
Jiaai Huang ◽  
Yuanjie Wang ◽  
Na Ye ◽  
Xia Xu

Abstract Background: There have been ambiguous findings on the empirical relationship 24 between perceived stress and emotional eating. The mediating roles of negative-focused cognitive emotion regulation and reward sensitivity of these relationships, particularly for adolescents, are often overlooked. The objective of this study was to assess the association between perceived stress, negative-focused cognitive emotion regulation, reward sensitivity, and emotional eating in a sample of Chinese adolescents. Methods: In this cross-sectional study, 562 adolescents were selected and evaluated based on perceived stress, negative-focused cognitive emotion regulation, reward sensitivity, and emotional eating. Model tests were conducted using serial multiple mediation analyses, controlling for sex, age, household income, and body mass index. Results: Results showed that perceived stress directly affected adolescents’ emotional eating. In addition, perceived stress indirectly affected emotional eating through negative-focused cognitive emotion regulation and reward sensitivity. Conclusions: Findings support the hypothesis that perceived stress increases negative-focused cognitive emotion regulation, which increases reward sensitivity and thus increases emotional eating. Implications of these findings for preventive and therapeutic intervention are discussed, and future research recommendations are provided.


2019 ◽  
Vol 8 (10) ◽  
pp. 1682 ◽  
Author(s):  
Stephanie Pirotta ◽  
Mary Barillaro ◽  
Leah Brennan ◽  
Angela Grassi ◽  
Yvonne Jeanes ◽  
...  

Psychological co-morbidities common in polycystic ovary syndrome (PCOS) may contribute to disordered eating and subsequent weight gain. This cross-sectional study aimed to determine the prevalence of disordered eating and a range of eating disorders and demographic risk factors associated with these behaviours within an Australian group of women with and without PCOS. Data from 899 women with (n = 501) and without (n = 398) PCOS were analysed as possibly indicative of disordered eating or eating disorders using the Eating Disorder Examination Questionnaire (EDE-Q) and The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria. Disordered eating (p = 0.012) but not eating disorders (p = 0.076) were more prevalent in women with PCOS compared to controls. Increased body mass index (BMI) [Odds Ratio (OR): 1.03; 95%; Confidence Interval (CI): 1.01, 1.05, p = 0.012] and older age [OR: 1.05; 95%CI: 1.02, 1.08, p = 0.002] but not PCOS diagnosis [OR: 1.43; 95%CI: 0.96, 2.13 p = 0.078] increased the odds of disordered eating. Increased BMI [OR: 1.04; 95%CI: 1.02, 1.06, p < 0.001] and younger age [OR: -0.95; 95%CI: 0.93–0.95, p < 0.001] but not PCOS diagnosis [OR: 1.38; 95%CI: 0.97, 1.95, p = 0.076] increased the odds of an eating disorder. Clinicians are recommended to screen all women with PCOS for possible disordered eating behaviours, with particular attention to women with elevated BMI.


2017 ◽  
Vol 41 (1) ◽  
pp. 30-36 ◽  
Author(s):  
M. Syk ◽  
M. Ramklint ◽  
R. Fredriksson ◽  
L. Ekselius ◽  
J.L. Cunningham

AbstractBackgroundBulimia nervosa (BN) is characterized by dysregulated eating behaviour and present data suggest adipokines may regulate food intake. We investigated a possible association between BN and adipokine levels and hypothesized that plasma (P)-adiponectin would be elevated and P-leptin and P-leptin-adiponectin-ratio would be reduced in women with BN.MethodsThe study was designed as a cross-sectional study with a longitudinal arm for patients with BN. Plasma-adiponectin and leptin was measured in 148 female patients seeking psychiatric ambulatory care and 45 female controls. Fifteen patients were diagnosed with BN and the remaining with other affective and anxiety disorders. P-adiponectin and P-leptin levels were compared between patients with BN, patients without BN and controls. At follow-up 1–2 years later, adipokines were reassessed in patients with BN and the Eating Disorder Examination Questionnaire was used to assess symptom severity.ResultsP-adiponectin was elevated in patients with BN at baseline and at follow-up when compared to patients without BN and controls (P < 0.004 and < 0.008 respectively). The difference remained significant after controlling for body mass index. P-adiponectin was correlated to symptom severity at follow-up in patients with BN without morbid obesity (ρ = 0.72, P < 0.04). P-leptin-adiponectin-ratio was significantly lower in patients with BN compared to controls (P < 0.04) and P-leptin non-significantly lower.ConclusionsFindings indicate a stable elevation of P-adiponectin in women with BN. P-adiponectin at follow-up correlates to eating disorder symptom severity in patients without morbid obesity, indicating that P-adiponectin should be further investigated as a possible potential prognostic biomarker for BN.


2020 ◽  
Author(s):  
Wesley R. Barnhart ◽  
Abby Braden ◽  
Amy K. Jordan

Binge eating is present in obesity and clinical eating disorder populations and positively associated with poor health outcomes. Emotional eating may be related to binge eating, but relationships with emotional reactivity remain unexplored. The present study examined the relationships between negative and positive emotional eating and emotional reactivity in predicting binge eating. A cross-sectional study was employed using an online community sample in the United States. Participants (N = 258) completed surveys assessing negative (Emotional Eating Scale-Revised, depression subscale) and positive emotional eating (Emotional Appetite Questionnaire), negative and positive emotional reactivity (Perth Emotional Reactivity Scale), and binge eating (Binge Eating Scale). Six moderation analyses were calculated with negative and positive emotional reactivity (ease of activation, intensity, and duration) as moderators of the relationship between negative and positive emotional eating, respectively, and binge eating. Increased negative emotional eating was associated with increased binge eating when duration of negative emotional reactivity was 1 standard deviation above average (p &lt; .001), but at 1 standard deviation below average (p &lt; .001), increased negative emotional eating was associated with decreased binge eating. Increased positive emotional eating was associated with increased binge eating when intensity (p &lt; .01) of positive emotional reactivity was 1 standard deviation above average and when activation (p &lt; .05) of positive emotional reactivity was slightly above 1 standard deviation above average. Increased positive emotional eating was associated with decreased BE when intensity of positive emotional reactivity was 1 standard deviation below (p &lt; .05) average. Emotional reactivity may uniquely impact the relationship between emotional eating and binge eating. Research and clinical implications for the contribution of negative and positive emotional eating and emotional reactivity on binge eating are discussed.


2020 ◽  
Author(s):  
Wesley R. Barnhart ◽  
Abby Braden ◽  
Lauren Ann Dial

Background: People with emotional eating (EE) may experience weight gain and obesity, eating disorder psychopathology, and emotion dysregulation. Limited research has examined experiences in childhood that may be associated with EE in adulthood. Perceived parental feeding practices and emotion regulation difficulties were examined as correlates of negative and positive EE in adulthood. Methods: A cross-sectional study using an online community sample of adults (N = 258) examined self-reported negative (Emotional Eating Scale-Revised; EE-anger/anxiety, EE-boredom, and EE-depression) and positive (Emotion Appetite Questionnaire; EE-positive) EE, perceived parental feeding practices (Child Feeding Questionnaire), and emotion regulation difficulties (Difficulties in Emotion Regulation Scale). Results: Moderation analyses calculated in PROCESS macro examined emotion regulation difficulties as a moderator of relationships between perceived parental feeding practices and EE. Across all models tested, age, BMI, and gender were entered as covariates. Higher perceptions of parental control (monitoring and restriction) of unhealthy eating behaviors and pressure to eat were more strongly associated with EE-anger/anxiety and EE-positive when emotion regulation difficulties were high. Higher perceptions of parental restriction of unhealthy eating behaviors and pressure to eat were more strongly associated with higher EE-boredom when emotion regulation difficulties were high. No significant interactions between perceived parental feeding practices and emotion regulation difficulties emerged in relation to EE-depression. Conclusions: Perceived controlling parental feeding practices and emotion regulation difficulties may explain meaningful variance in negative and positive EE in adulthood.


2010 ◽  
Vol 20 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Evelyn R. Klein ◽  
Barbara J. Amster

Abstract A study by Yaruss and Quesal (2002), based on responses from 134 of 239 ASHA accredited graduate programs, indicated that approximately 25% of graduate programs in the United States allow students to earn their degree without having coursework in fluency disorders and 66% of programs allow students to graduate without clinical experience treating people who stutter (PWS). It is not surprising that many clinicians report discomfort in treating PWS. This cross-sectional study compares differences in beliefs about the cause of stuttering between freshman undergraduate students enrolled in an introductory course in communicative disorders and graduate students enrolled and in the final weeks of a graduate course in fluency disorders.


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