Commentary on Empirical Examinations of the Association Between Anxiety and Eating Disorders

Keel, Pamela K.

doi:10.1007/s10608-013-9566-8

Cited by 5 publications

(3 citation statements)

References 13 publications

(20 reference statements)

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“…Indeed, eating, anxiety and mood disorders are often co-morbid (e.g. Keel, 2013;Radhakrishnan and Hardy, 2011). These background variables and others such as history of eating or weight disorder treatment (e.g.…”

Section: Research Limitations and Implicationsmentioning

confidence: 99%

Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care

Boisvert

Harrell

2014

Ethnicity and Inequalities in Health and Social Care

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Purpose – There is a gap in the understanding of relationships between socioeconomic status (SES), urban-rural differences, ethnicity and eating disorder symptomatology. This gap has implications for access to treatment and the effectiveness of treatment. The paper aims to discuss these issues. Design/methodology/approach – Data are presented from a major Canadian survey, analyzing the impact of body mass index (BMI), urban-non-urban residency, income, and ethnicity on eating disorder symptomatology. Findings – One of the strongest findings is that high income non-White women expressed less eating disorder symptomatology than lower income non-White women. Research limitations/implications – Future research needs to consider how factors such as urban residency, exposure to Western “thinness” ideals, and income differentials impact non-White women. Practical implications – Effective treatment of ethnic minority women requires an appreciation of complicated effects of “culture clash,” income and BMI on eating disorder symptomatology. Originality/value – This study makes a unique contribution to the literature by examining relationships between SES (income) and eating disorder symptomatology in White and non-White Canadian women. The review of the scientific literature on ethnic differences in eating disorder symptomatology revealed a disparity gap in treatment. This disparity may be a by-product of bias and lack of understanding of gender or ethnic/cultural differences by practitioners.

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Section: Research Limitations and Implicationsmentioning

confidence: 99%

Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care

Boisvert

Harrell

2014

Ethnicity and Inequalities in Health and Social Care

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“…Furthermore there is indication that starvation can reduce anxiety through alterations in the serotonin system [6]. On the other hand, binge eating can be used as a way of reducing unpleasant emotions and especially anxiety [7]. Binge eating behavior seems to achieve these "anxiolytic" effects through a dopaminergic modulation of the reward system in the brain [8].…”

Section: Eating Disorder As a Coping Behavior For Anxietymentioning

confidence: 99%

Are Eating Disorders a Type of Anxiety Disorder?

Gonidakis¹

2016

J Depress Anxiety

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JDA, an open access journal common an etiological factors, and that these factors can increase an individual's susceptibility to either disorder. Furthermore, food restriction and binge eating seem to both have some kind of "anxiolytic" biological and psychological effect and thus can be regarded as a reinforced self-healing behavior for patients that have been suffering from severe anxiety prior to the onset of ED.

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“…These studies have relied heavily on survey methodology; for example, researchers have examined correlations between subclinical symptoms of BN and trait levels of psychological factors that are elevated in SAD (e.g., FNE; Hinrichsen, Wright, Waller, & Meyer, 2003). The goal of this work is to further advance understanding of such commonalities, which can ultimately lead to enhanced BN treatment efficacy (Keel, 2013). To effectively achieve this goal, additional work must be completed to better understand the significance of these commonalities (i.e., how social anxiety related factors influence the course of BN).…”

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confidence: 99%

An examination of responses to laboratory stressors in individuals with bulimia nervosa compared to those without a history of eating disorders

Linett¹

2021

Preprint

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The association between perceived interpersonal stress and symptoms of bulimia nervosa (BN) has been well documented. In line with this association, recent research is focused on better understanding common factors of BN and social anxiety (SA; e.g., fear of negative evaluation, perfectionism) that might contribute to the maintenance of BN symptomatology. Thus far, the extent to which stress affects individuals with BN and co-occurring SA has not been extensively studied, despite the high comorbidity of these two disorders. Using an experimental paradigm, the present study explored the effects of different stressor-types on individuals with BN, as well as the potential impact of SA symptoms and related factors on stress response in this population. A total of 56 females participated in this study: 28 diagnosed with BN, and 28 controls without a history of eating disorders. All participants completed self-report measures and underwent three laboratory stressors: a modified version of the Trier Social Stress Test (a psychosocial stressor), a carbon dioxide challenge (a physiological stressor), and a body image stressor (an eating disorder specific stressor developed for use in this study). Subjective and cardiovascular responses were measured. Contrary to hypotheses, significant between-group differences in stressor response were not consistently revealed. An examination of Cohen’s d values, however, suggested that the magnitude of group differences represented practically significant effects. Notably, participants within both groups reported decreased levels of hunger and desire to eat in response to each stressor. Also inconsistent with hypotheses was that neither SA symptoms nor associated factors consistently predicted stress reactivity in either group. Moreover, in the BN group, similar magnitudes of response were revealed across the three stressors. Implications and suggestions for further research are discussed. Although binge eating was not behaviourally measured, the finding that different stressor-types did not lead directly to increased hunger and desire to eat is notable and consistent with the cognitive behavioural theory of BN. With continued study of SA-related factors in association with BN symptomatology-- particularly in the context of stressful events-- further insight into the maintenance of this disorder might be revealed for a subset of individuals with comorbid BN and SAD.

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Commentary on Empirical Examinations of the Association Between Anxiety and Eating Disorders

Cited by 5 publications

References 13 publications

Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care

Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care

Are Eating Disorders a Type of Anxiety Disorder?

An examination of responses to laboratory stressors in individuals with bulimia nervosa compared to those without a history of eating disorders

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