Emotion regulation model in binge eating disorder and obesity - a systematic review

Leehr, Elisabeth J.; Krohmer, Kerstin; Schag, Kathrin; Dresler, Thomas; Zipfel, Stephan; Giel, Katrin Elisabeth

doi:10.1016/j.neubiorev.2014.12.008

Cited by 447 publications

(349 citation statements)

References 63 publications

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“…In fact, binge-eating episodes have been considered as attempts to control, suppress or avoid difficult and unwanted internal experiences (e.g., Gianini et al, 2013;Lillis et al, 2011). Also, these results seem to corroborate the emotional regulation model of binge-eating that proposes that binge-eaters have additional emotional regulation difficulties and may be considered a distinctive neurobiological phenotype within obesity (Leehr et al, 2015).…”

Section: Discussionsupporting

confidence: 60%

“…Our findings seem to support this assumption, corroborating the emotional regulation model that advocates that individuals with binge-eating have poorer emotional regulation strategies, even when compared with other individuals without binge-eating. In turn, these disturbed emotional regulation strategies (such as experiential avoidance) have been consistently linked to poorer outcomes (e.g., Leehr et al, 2015;Gianini et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…The fact that individuals with and without BE tend to present significant differences, led several researchers to argue that individuals with BE should be considered a distinct group from those with obesity without BE and to recommend differentiated treatments (e.g., Leehr et al, 2015). Despite the aforementioned differences, it is still unclear whether weight-related experiential avoidance patterns would mediate the relationship between weight self-stigma and obesity-related quality-of-life, and if it plays a similar role in individuals with and without BE.…”

Section: Introductionmentioning

confidence: 99%

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The role of weight self-stigma on the quality of life of women with overweight and obesity: A multi-group comparison between binge eaters and non-binge eaters

2016

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Weight self-stigma is conceptualized as a multidimensional concept involving experiences of shame, self-devaluation and the perception of being discriminated against in social situations due to one's weight. It has been associated with experiential avoidance, unhealthy eating behaviours, binge eating and diminish quality-of-life (QoL). The current study aims to explore the mediation effect of weight-related experiential avoidance on the relationship between weight self-stigma and obesity-related QoL in women with and without binge eating (BE).The sample comprised 282 women with overweight or obesity, from which 100 presented BE symptoms. Sample's mean age was 44.24 (SD = 11.30), with a mean BMI of 31.40 (SD = 4.53). Participants completed a set of self-reported measures regarding BE symptoms, weight self-stigma, weight-related experiential avoidance and QoL.Results from path analysis supported the mediation of weight-related experiential avoidance on the relationship between weight self-stigma and QoL, even when controlling for BMI. The model accounted 58% of QoL variance. Furthermore, the multi-group analysis revealed that the model was not invariant for both groups. The analysis of the critical ratios showed that the path from weight-related experiential avoidance to QoL was stronger for the BE group. Also the model only explained 39% of QoL for the group without BE and 65% of QoL for the BE group.This study highlights the pervasive role of weigh self-stigma, particularly fear of being discriminated and weight-related experiential avoidance on obesity-related quality-of-life, especially for those women with BE. Additionally, it supports that interventions should focus not only in weight loss but also in improving individual's QoL, promoting the development of adaptive emotional regulation strategies.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The role of weight self-stigma on the quality of life of women with overweight and obesity: A multi-group comparison between binge eaters and non-binge eaters

2016

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“…The hallmark feature of BED is the occurrence of binge eating episodes, which involve the ingestion of an unusually large amount of food accompanied by a feeling of loss of control. Binge eating is often precipitated by and acts as a means of coping with negative affect (Dakanalis et al, 2014;Heatherton and Baumeister, 1991;Leehr et al, 2015. These episodes involve emotional distress and shame because of the binging behaviour, as well as concerns about the effects of these episodes on body weight, shape, and self-esteem.…”

Section: Introductionmentioning

confidence: 99%

The impact of early shame memories in Binge Eating Disorder: The mediator effect of current body image shame and cognitive fusion

Duarte

Pinto‐Gouveia

2017

Psychiatry Research

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This study examined the phenomenology of shame experiences from childhood and adolescence in a sample of women with Binge Eating Disorder. Moreover, a path analysis was investigated testing the association between the extent to which shame-related memories are traumatic and central to identity and binge eating symptoms' severity, mediated by current external shame, body image shame and body image cognitive fusion. Participants in this study were 114 patients, who were assessed through the Eating Disorder Examination and the Shame Experiences Interview, and through self-report measures of external shame, body image shame, body image cognitive fusion and binge eating symptoms. Shame experiences where physical appearance was negatively commented or criticized by others were the most frequently recalled. A path analysis showed a good fit between the hypothesised mediational model and the data. The traumatic and centrality qualities of shame-related memories predicted current external shame, especially body image shame. Current shame feelings were associated with body image cognitive fusion, which, in turn, predicted levels of binge eating symptomatology.Findings support the relevance of addressing early shame-related memories and negative affective and self-evaluative experiences, namely related to body image, in the understanding and management of binge eating.

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“…Los estudios todavía son escasos, aunque sus resultados muestran la presencia de difi cultades en la capacidad para identifi car, describir y expresar las emociones (Da Ros, Vinai, Gentile, Forza, y Cardetti, 2011;Giel et al, 2016), así como en la regulación emocional (Kittel, Brauhardt, y Hilbert, 2014). En concreto, los estudios plantean que cuando estos pacientes experimentan emociones desagradables suelen usar la conducta de comer para intentar reducirlas o suprimirlas (Leehr et al, 2015), lo cual repercute en su exceso de peso.…”

Section: Introductionunclassified

Entrenamiento en remediación cognitiva y habilidades emocionales en formato grupal para pacientes con obesidad. Un estudio piloto

Segura

Roncero

Oltra-Cucarella

et al. 2017

RPPC

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Abstract:Cognitive remediation and emotion skills training was initially designed by the Tchanturia group for individual intervention in patients with eating disorders. The purpose of the present study is to present its adaptation to patients with obesity in group format. It is structured in 8 weekly sessions that work on central executive functions, the relation between emotion and thought, and emotion regulation in oneself and others. In addition, we present the preliminary results of its application to a group of 5 participants with morbid obesity to assess its possible effi cacy. The results indicate that, after the intervention, the patients showed improvement in their cognitive and emotional skills, as well as in their behaviors related to eating and weight. This program can be a useful complementary intervention in the initial stages of obesity treatment.Keywords: CREST; cognitive remediation; emotion; eating disorders; obesity.Resumen: El entrenamiento en remediación cognitiva y habilidades emocionales fue diseñado inicialmente por el grupo de Tchanturia para la intervención individual de pacientes con trastornos alimentarios. El objetivo del presente trabajo es exponer su adaptación a pacientes con obesidad en formato grupal. Se estructura en 8 sesiones semanales en las que se trabaja funciones de ejecutivo central, la relación entre emoción y pensamiento, y el manejo emocional en un mismo y en los demás. Además, presentamos los resultados preliminares de su aplicación a un grupo de 5 participantes con obesidad mórbida con el fi n de valorar su posible efi cacia. Los resultados indican que tras la intervención, las pacientes mostraron una mejoría en sus habilidades cognitivas y emocionales, así como en las conductas relacionadas con la alimentación y el peso. Este programa puede ser una intervención útil complemento del tratamiento de la obesidad en sus fases iniciales.

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Emotion regulation model in binge eating disorder and obesity - a systematic review

Cited by 447 publications

References 63 publications

The role of weight self-stigma on the quality of life of women with overweight and obesity: A multi-group comparison between binge eaters and non-binge eaters

The role of weight self-stigma on the quality of life of women with overweight and obesity: A multi-group comparison between binge eaters and non-binge eaters

The impact of early shame memories in Binge Eating Disorder: The mediator effect of current body image shame and cognitive fusion

Entrenamiento en remediación cognitiva y habilidades emocionales en formato grupal para pacientes con obesidad. Un estudio piloto

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