An Ecological Momentary Assessment of Lapse Occurrences in Dieters

McKee, Heather C.; Ntoumanis, Nikos; Taylor, Ian

doi:10.1007/s12160-014-9594-y

Cited by 62 publications

(80 citation statements)

References 37 publications

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“…For example, lapses of young adults but not of post-menopausal women were more likely to occur at home (8, 9). Only one study examined timing of lapses, reporting that lapses appeared equally likely to occur on weekends and weekdays, but were more likely to occur in the evening (17). The data demonstrating equal risk for lapse on weekends vs weekdays are surprising, given that epidemiological data from the National Health and Nutrition Examination Survey have indicated that on Saturdays, compared to weekdays, calorie intake is significantly higher (an increase of 181 kcal, on average) and dietary quality is significantly worse (20).…”

Section: Frequency and Nature Of Lapsesmentioning

confidence: 99%

“…Research using retrospective recall has also detected an association between lapses in the context of a behavioral weight loss program and negative affect (27). External factors that have predicted lapses include being or socializing with others, being in a tempting environment, eating with others, conflict, and watching television (8, 9, 17). Notably, several triggers (e.g., specific mood states) have emerged as predictors in some studies but not others, again likely because of differences in sample characteristics.…”

Section: Triggers Of Dietary Lapsesmentioning

confidence: 99%

“…However, findings obtained from self-report and laboratory-based studies are limited by bias in recall and ecological validity, respectively (14). Alternatively, studies have successfully studied lapses and their antecedents using ecological momentary assessment (EMA), which utilizes event and/or signal-based recording (i.e., recording at a lapse occurrence and when a time-based prompt occurs) to repeatedly assess current (or very recent) behaviors and psychological processes in their real-world context (8, 9, 15–17). The unique assessment capabilities of EMA allow for more accurate examination of lapse frequency and nature, as well as for identification of triggers for lapsing (18, 19).…”

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confidence: 99%

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Ecological Momentary Assessment of Dietary Lapses Across Behavioral Weight Loss Treatment: Characteristics, Predictors, and Relationships with Weight Change

et al. 2017

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Background Adherence to dietary prescriptions is critical for successful weight loss and weight loss maintenance. However, research on specific instances of inadherence (lapses) is limited, and findings regarding the frequency, nature and causes of lapses are mixed. Additionally, no studies have examined lapses over the course of a weight loss program. Purpose In the context of a reduced calorie diet prescribed as part of a behavioral treatment, we aimed to characterize lapse occurrence, examine lapse frequency across treatment, examine predictors of lapses, and assess the relationship between lapses and weight loss. Methods Adults (n = 189) enrolled in a 12-month behavioral weight loss program completed ecological momentary assessment (EMA) at baseline, mid-treatment, and end-of-treatment. At each EMA survey, participants indicated whether a lapse had occurred, and responded to questions assessing situational, environmental, and affective states. Results Lapse frequency showed a curvilinear relationship over time, such that frequency first decreased and then increased. More frequent lapses at baseline were associated with less early and overall weight loss. Lapses occurred most often at home, in the evenings, on the weekends, and entailed eating a forbidden food. Greater overall levels of assessed affective and environmental triggers predicted lapses; greater momentary hunger and deprivation, and the presence of palatable food also prospectively predicted lapses. Conclusions In addition to characterizing lapse frequency, the current study identified prospective predictors of lapses across treatment. These findings support the importance of lapses to weight control, and provide insight for potential targets of intervention to prevent lapse occurrence.

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Section: Frequency and Nature Of Lapsesmentioning

confidence: 99%

Section: Triggers Of Dietary Lapsesmentioning

confidence: 99%

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confidence: 99%

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Ecological Momentary Assessment of Dietary Lapses Across Behavioral Weight Loss Treatment: Characteristics, Predictors, and Relationships with Weight Change

et al. 2017

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“…Results revealed that attempts to resist were less likely to result in goal-consistent behaviour when desires were stronger. A similar study found that instances where current dieters lapsed in dietary control by indulging in unhealthy food were preceded by a stronger reported experience of temptation compared with instances of successful dietary control (McKee, Ntoumanis, & Taylor, 2014). In fact, the most common reason cited by a sample of overweight and obese individuals for eating unhealthy snacks was that they were perceived as highly tempting (Cleobury & Tapper, 2013).…”

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confidence: 91%

Reduce temptation or resist it? Experienced temptation mediates the relationship between implicit evaluations of unhealthy snack foods and subsequent intake

Haynes

Kemps

Moffitt

et al. 2014

Psychology & Health

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Please cite this article as: Haynes, A., Kemps, E., Moffitt, R., and Mohr, P., 2015. Reduce temptation or resist it? Experienced temptation mediates the relationship between implicit evaluations of unhealthy snack foods and subsequent intake. Psychology & Health, 30(5) AbstractA more negative implicit evaluation of unhealthy food stimuli and a more positive implicit evaluation of a weight-management goal have been shown to predict lower consumption of unhealthy food. However, the associations between these evaluations, temptation to indulge, and consumption of unhealthy food remain unclear. The current study investigated whether temptation would mediate the relationship between implicit food and goal evaluations and consumption (resembling an antecedent-focused route to self-control of eating), or whether those evaluations would moderate the relationship between temptation and consumption (resembling a response-focused route). A sample of 156 women (17-25 years) who tried to manage their weight through healthy eating completed two implicit association tasks assessing implicit food and goal evaluations, respectively. Intake of four energy-dense snack foods was measured in a task disguised as a taste-test, and participants reported the strength of experienced temptation to indulge in the snacks offered. Negative implicit food evaluation was associated with lower snack intake, and temptation mediated this relationship. Implicit goal evaluation was unrelated to both temptation strength and snack consumption. The findings contribute to an understanding of how negative implicit unhealthy food evaluation relates to lower consumption, namely through the mediation of temptation to indulge in those foods.

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“…Controlling the weight requires activity [5] and so does keeping record of the amount of food eaten [6]. Our idea was that these activities might not be successful if inertia or "laziness", criticism, incapacity or non-creative thinking pattern [5] would be present.…”

Section: /6mentioning

confidence: 99%

Attitudes that Make Weight Loss Management Difficult

Luotolahti¹,

Viikari²,

Kantola³

2015

AOWMC

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Objective: In this study we tried to find out which would be the most important attitude-related factors that make the weight loss management difficult. Methods:We discussed problems of weight loss attempts with 68 persons having tried to lose weight. 32 had been successful having managed to lose at least 5 kg of their weight permanently; they formed "the successful group". 36 had not been successful at all, forming "the non-successful group". We compared the amount of harmful attitudes between these groups.Results: During these discussions emerged 15 attitude-related factors that seemed to disturb successful weight loss and maintenance. These attituderelated factors were found significantly more often in the non-successful group as opposed to the successful group. The factors that seemed to disturb the attempts to lose weight were inertia ("laziness")(IN), culinary attitude (CU), Depressive mood (DE), restlessness (RE), superiority attitude (SB), criticism (CR), bitterness (BI), food dependency (FD), experiencing general difficulties in weight loss (DI), impaired physical condition (IC), hunger (HG), incapacity (ICA), peer pressure (PP), lack of the time (LT) and unrealistic activity (UN). Statistically the most significant factors in this study were depressive mood (p=0.0018), food dependency (p=0.006), restlessness (p=0.035), bitterness (p=0.035) and inertia (p=0.23). Also one combination of three factors (criticism, experiencing general difficulties in weight loss and impaired physical condition) was statistically more abundant in the non-successful group (p=0.0299). Conclusion:During a 30 minute discussion there were found attitudes that are not beneficial to the weight loss management. The most disturbing attitudes in our study were depressive mood, food dependency, restlessness, bitterness and inertia. The existence of factors that alone were not statistically significantbetween the two studied groups became statistically significantas a combination.

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An Ecological Momentary Assessment of Lapse Occurrences in Dieters

Cited by 62 publications

References 37 publications

Ecological Momentary Assessment of Dietary Lapses Across Behavioral Weight Loss Treatment: Characteristics, Predictors, and Relationships with Weight Change

Ecological Momentary Assessment of Dietary Lapses Across Behavioral Weight Loss Treatment: Characteristics, Predictors, and Relationships with Weight Change

Reduce temptation or resist it? Experienced temptation mediates the relationship between implicit evaluations of unhealthy snack foods and subsequent intake

Attitudes that Make Weight Loss Management Difficult

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