Binge Eating and Problem Gambling are Associated with Common and Distinct Deficits in Emotion Regulation among Community Women: Results from a Prospective Study

2020 ◽  
Author(s):  
Sarah Farstad ◽  
Kristin M. von Ranson

To elucidate similarities and differences between binge eating and a behavioral addiction, this prospective study compared facets of emotion regulation that were associated with problem gambling, the only formally recognized behavioral addiction, and binge eating. Community-based women (N = 202) who engaged in at-risk binge eating (n = 79), at-risk gambling (n = 36), or both (n = 87) completed four online assessments over six months. Baseline and six-month surveys assessed self-reported emotion dysregulation (using the DERS and UPPS-P), binge eating (using the EDE-Q), and gambling (using the PGSI); abbreviated two- and four-month surveys assessed only binge eating and gambling. Binge eating and problem gambling were both associated with emotion dysregulation, and greater positive urgency was correlated with more severe problem gambling but less frequent binge eating. Negative urgency explained no unique variance in binge eating or problem gambling changes over time, once other facets of emotion dysregulation (i.e., positive urgency and facets assessed by the DERS) were included. Thus, previous cross-sectional research may have overestimated the association of negative urgency with both binge eating and problem gambling. Overall, these findings suggest that binge eating and problem gambling are associated with common as well as distinct emotion regulation deficits.

2017 ◽  
Vol 32 (5) ◽  
pp. 791-810 ◽  
Author(s):  
Patrizia Velotti ◽  
Robert B. Casselman ◽  
Carlo Garofalo ◽  
Melissa D. McKenzie

Although problems with emotion regulation (ER) have long been associated with internalizing symptoms, only recently has an ER framework been applied to the study of aggression. Therefore, little is known about the unique and independent associations between specific domains of the ER construct and different kinds of aggressive tendencies. We sought to explore these associations in two independent samples of young adults. Furthermore, we tested whether gender moderated the proposed emotion dysregulation–aggression link. Our results corroborated the association between emotion dysregulation and aggression in both samples. Specifically, the inability to control impulsive behavior when upset (i.e., negative urgency) was uniquely related to physical aggression, verbal aggression, anger, and hostility. Limited access to ER strategies was also significantly associated with overall aggression and hostility. The effect of negative urgency on physical and verbal aggression was stronger among males than females, although only in one sample.


Author(s):  
Patrycja Michalska ◽  
Anne Chatton ◽  
Louise Penzenstadler ◽  
Paweł Izdebski ◽  
Emilien Jeannot ◽  
...  

Background: Internet gambling may increase rates of gambling harm. This current study aimed to assess Internet poker players’ views on various harm-reduction (HR) strategies. It also examined differences in these views according to the games played (poker only vs. poker plus other gambling activities), indebtedness, and problem gambling severity. Methods: Internet poker players (n = 311; 94.2% Male) recruited online between 2012 and 2014 were included in the analyses and completed a survey on indebtedness, problem gambling severity index, and ten statements regarding HR features. Results: Among the whole sample, the most frequently endorsed HR strategy was setting money limits, specialized online help, and peer support forums. People who play poker only (70%) are less prone to endorse the utility of information on excessive gambling and specialized healthcare centers. No differences were found between those people with debt versus those without regarding HR assessment. Participants with severe problem gambling were more skeptical about HR strategies based on information on specialized healthcare centers. Conclusion: Setting money limits, online help, and peer support forums are the most commonly endorsed strategies. Future research is needed to evaluate the effectiveness of online harm reduction strategies.


2014 ◽  
Vol 204 (4) ◽  
pp. 254-255 ◽  
Author(s):  
Christopher C. H. Cook

SummaryMuch of the evidence that religion provides a protective factor against completed suicide comes from cross-sectional studies. This issue of the Journal includes a report of a new prospective study. An understanding of the relationship between spirituality, religion and suicide is important in assessing and caring for those at risk.


Author(s):  
Moritz Mosenhauer ◽  
Philip W. S. Newall ◽  
Lukasz Walasek

Abstract Background and aims Personal investors decrease their stock market investment returns by trading frequently, which the behavioral finance literature has primarily explained via investors' overconfidence and low levels of financial literacy. This study investigates whether problem gambling can help account for frequent trading in a sample of active gambler/investors, as suggestive of frequent trading being in part driven by a behavioral addiction to gambling-like activities. Methods A retrospective cross-sectional study of 795 US-based participants, who reported both being active gamblers and holding stock market investments. Recollected stock trading activity (typical portfolio size, purchases and sales of stocks) was compared with scores on the Problem Gambling Severity Index, a financial literacy scale, and a measure of overconfidence. Results Self-reported relative stock portfolio turnover was positively associated with problem gambling scores. This association was robust to controls for financial literacy, overconfidence, and demographics, and occurred equally among investors of all self-reported portfolio sizes. Discussion and conclusions This study provides support for the hypothesis that behavioral addiction to gambling-like activities is associated with frequent stock market trading. New investment products that increase the ease of trading may therefore be detrimental to some investors.


2015 ◽  
Vol 29 (3) ◽  
pp. 805-812 ◽  
Author(s):  
Sarah M. Farstad ◽  
Kristin M. von Ranson ◽  
David C. Hodgins ◽  
Nady El-Guebaly ◽  
David M. Casey ◽  
...  

2021 ◽  
Author(s):  
Sónia Ferreira Gonçalves ◽  
Sofia Ramalho ◽  
Bárbara Machado ◽  
Ana Isabel Vieira

Abstract Purpose:Research on the interplay between eating pathology, difficulties in emotion regulation and negative urgency is needed to better inform and tailor the current intervention approaches for patients with eating disorders and non-suicidal self-injury. The current study aimed to investigate the phenotypic characterization of patients with eating disorders and history of lifetime non-suicidal self-injury when considering eating pathology, emotion dysregulation and negative urgency. Methods: This is a cross-sectional study evaluating 73 patients with eating disorders and history of lifetime non-suicidal self-injury (14-55 years; 68 Female). A cluster analysis (K-means) was performed using eating pathology, difficulties in emotion regulation and negative urgency. Differences between clusters were explored on sociodemographic/psychological variables, distribution of the DSM-5 eating disorder diagnostics and past/current non-suicidal self-injury engagement Results: Three clusters were identified. Cluster 1 (n = 29) (moderate severity) was characterized by high levels of eating pathology, but moderate emotion dysregulation and negative urgency. Cluster 2 (n = 29) (high severity) was characterized by the highest scores in eating pathology, emotion dysregulation and negative urgency. Within this cluster there was the highest prevalence of patients with current non-suicidal self-injury. Cluster 3 (n = 15) (low severity) was characterized by the lowest levels of eating pathology, emotion dysregulation and negative urgency and included more patients with past non-suicidal self-injury. Conclusion: The three distinctive profiles highlights the importance of emotion dysregulation and negative urgency as a personalized treatment target for eating disorders patients with current NSSI. Level III: Evidence obtained from well-designed cohort or case-control analytic studies


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Matteo Aloi ◽  
Marianna Rania ◽  
Elvira Anna Carbone ◽  
Mariarita Caroleo ◽  
Giuseppina Calabrò ◽  
...  

Abstract Background This study aims to examine the underlying associations between eating, affective and metacognitive symptoms in patients with binge eating disorder (BED) through network analysis (NA) in order to identify key variables that may be considered the target for psychotherapeutic interventions. Methods A total of 155 patients with BED completed measures of eating psychopathology, affective symptoms, emotion regulation and metacognition. A cross-sectional network was inferred by means of Gaussian Markov random field estimation using graphical LASSO and the extended Bayesian information criterion (EBIC-LASSO), and central symptoms of BED were identified by means of the strength centrality index. Results Impaired self-monitoring metacognition and difficulties in impulse control emerged as the symptoms with the highest centrality. Conversely, eating and affective features were less central. The centrality stability coefficient of strength was above the recommended cut-off, thus indicating the stability of the network. Conclusions According to the present NA findings, impaired self-monitoring metacognition and difficulties in impulse control are the central nodes in the psychopathological network of BED whereas eating symptoms appear marginal. If further studies with larger samples replicate these results, metacognition and impulse control could represent new targets of psychotherapeutic interventions in the treatment of BED. In light of this, metacognitive interpersonal therapy could be a promising aid in clinical practice to develop an effective treatment for BED.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3099 ◽  
Author(s):  
Farid Benzerouk ◽  
Zoubir Djerada ◽  
Eric Bertin ◽  
Sarah Barrière ◽  
Fabien Gierski ◽  
...  

Background: Binge eating disorder (BED) is very frequently observed in patients considered for weight loss surgery and seems to influence their outcome critically. Literature highlights a global emotional overload in individuals with BED, but little is known on the mechanisms involved. The present study aimed to focus on emotion regulation, impulsivity, depression, and anxiety in people with and without BED and fulfilling inclusion criteria for bariatric surgery. Doing so, we sought to individualize factors related to BED. Then, we examined the contribution of depression, anxiety, emotion regulation difficulties, and impulsivity to inappropriate eating behaviors observed in patients with BED. Methods: A sample of 121 individuals (79.3% female, mean age: 40.82 ± 9.26, mean current body mass index (BMI): 44.92 kg/m2 ± 7.55) seeking bariatric surgery were recruited at the Champagne Ardenne Specialized Center in Obesity in Reims, France from November 2017 to October 2018. They were stratified as with or without BED according to the binge eating scale. Characteristics identified in univariate analyses as differentiating the two groups were then included in multivariable analyses. Results: Multivariable analyses showed that limited access to emotional regulation strategies was significantly associated with BED. Furthermore, inappropriate eating behaviors were independently associated with age, depression severity, anxiety, emotional dysregulation, and impulsivity in BED group. Conclusions: The present findings are indicative of an association between emotion deficit and BED in obese patients seeking bariatric surgery. Patients with BED could benefit from the addition of an emotion regulation intervention.


2012 ◽  
Vol 51 (1) ◽  
pp. 86-92 ◽  
Author(s):  
Andrea B. Goldschmidt ◽  
Melanie Wall ◽  
Katie A. Loth ◽  
Daniel Le Grange ◽  
Dianne Neumark-Sztainer

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