Bulimics' responses to food cravings: is binge-eating a product of hunger or emotional state?

Waters, Anne; Hill, Andrew J.; Waller, Glenn

doi:10.1016/s0005-7967(00)00059-0

Cited by 160 publications

(105 citation statements)

References 37 publications

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“…Moreover, the present study indicated that the dietary restraint-binge eating relationship is fully mediated and explained by mood intolerance. Although this indirect effect was unexpected, it appears consistent with findings from studies indicating that dietary manipulations that transiently deplete tryptophan levels (and consequently 5-HT synthesis in the brain) contribute to dysphoric mood in bulimic-type ED subjects [61,62], increasing the likelihood that an individual might binge eat to relieve dysphoria [21,22,48,60,61]. Furthermore, based on the results of neurobiological, molecular-genetic, and brain-imaging studies, Steiger and colleagues [63] postulated that factors affecting 5-HT functional activity may indirectly influence susceptibility to binge eating by heightening affective instability.…”

Section: Discussionsupporting

confidence: 82%

“…OSW affects binging indirectly through increasing the likelihood of dietary restraint [6,13]. Although there is evidence that initial dietary restraint levels predict future onset of binge eating among asymptomatic individuals [24,56,57], as in this study, prior research using clinical interviews or ecological momentary assessment failed to support the dietary restraint-binge eating relationship among bulimic-type ED patients [9,[58][59][60]. Although, the impact of dietary restraint on binge eating deserves further elucidation, the direct paths from interpersonal problems and mood intolerance to binge eating lend some credence to scholars' suggestion that factors other than restraint may play a more critical role in the maintenance of binge eating among clinical samples [21,47,48,54,55], and highlight the importance of their inclusion in the CB-E theory, assessment, and target [12,13,21,23,28].…”

Section: Discussionmentioning

confidence: 66%

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Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study

Dakanalis

Carrà

Calogero

et al. 2014

Eur Arch Psychiatry Clin Neurosci

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(2014) Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: A multi-centre study. European Archives of Psychiatry and Clinical Neuroscience, 265 (8 to the data, the CB-E model accounted for a greater proportion of variance in eating-disordered behaviours than the original one, (b) interpersonal problems, clinical perfectionism and low self-esteem were indirectly associated with dietary restraint through over-evaluation of shape and weight, (c) interpersonal problems and mood intolerance were directly linked to binge eating, whereas restraint only indirectly affected binge eating through mood intolerance, suggesting that factors other than restraint may play a more critical role in the maintenance of binge eating. In terms of strength of the associations, differences across DSM-5 bulimic-type eating disorder diagnostic groups were not observed. The results are discussed with reference to theory and research, including neurobiological findings and recent hypotheses.Keywords DSM-5 · Bulimic-type eating disorders · Binge eating · Maintenance factors · Cognitive-behavioural theory · Latent variable structural equation modelling Abstract The original cognitive-behavioural (CB) model of bulimia nervosa, which provided the basis for the widely used CB therapy, proposed that specific dysfunctional cognitions and behaviours maintain the disorder. However, amongst treatment completers, only 40-50 % have a full and lasting response. The enhanced CB model (CB-E), upon which the enhanced version of the CB treatment was based, extended the original approach by including four additional maintenance factors. This study evaluated and compared both CB models in a large clinical treatment seeking sample (N = 679), applying both DSM-IV and DSM-5 criteria for bulimic-type eating disorders. Application of the DSM-5 criteria reduced the number of cases of DSM-IV bulimic-type eating disorders not otherwise specified to 29.6 %. Structural equation modelling analysis indicated that (a) although both models provided a good fit Electronic supplementary material The online version of this article

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 66%

Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study

Dakanalis

Carrà

Calogero

et al. 2014

Eur Arch Psychiatry Clin Neurosci

View full text Add to dashboard Cite

show abstract

“…6 Patient reports 7,8 and diary records of binge behaviour [9][10][11][12][13] have supported a role for negative emotional state in triggering binges. However, tightly controlled experimental support for this affective regulation of bingeing in the obese is lacking.…”

Section: Introductionmentioning

confidence: 97%

Negative mood-induced overeating in obese binge eaters: an experimental study

2004

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OBJECTIVES:To test the hypotheses that induction of negative mood in obese binge eaters would increase food intake, and that this would be greatest in those who were highly restrained. DESIGN: Experimental manipulation of mood (neutral vs sad film) prior to the presentation of food in a taste test. PARTICIPANTS: A total of 40 obese female binge eaters (41.7 y, mean BMI ¼ 40.2 kg/m 2 ). MEASURES: Visual analogue assessment of mood and hunger motivation, dietary restraint (Dutch Eating Behaviour Questionnaire), and food intake. RESULTS: Exposure to the sad film resulted in a significant decrease in mood for both restrained and unrestrained participants. Those in the negative mood condition ate significantly more food, and the restrained eaters consumed the most. However, the expected restraint by mood interaction just failed to reach significance (P ¼ 0.06) CONCLUSIONS: The salience of negative mood in promoting overeating was confirmed. Conversely, dietary restraint had no significant impact on food intake. Further experimental work on binge eating in this group would be of value in clarifying the role of dieting and informing treatment approaches.

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“…Failing to regulate negative affect is an important factor for the onset and maintenance of EDs, especially in patients with BN (Agras et al, 2009;Smyth et al, 2007;Waters et al, 2001). Patients with EDs and SIB have a higher incidence of depression compared to patients with EDs without SIB (Anderson et al, 2002;Claes et al, 2003;Favaro & Santonastaso, 1999).…”

Section: Affect Dysregulationmentioning

confidence: 99%