Emotional eating and cognitive conflicts as predictors of binge eating disorder in patients with obesity

Abstract

Background/Objectives: Binge Eating Disorder (BED) is often associated with obesity. In order to identify the variables that allow to better detect the presence of BED, people with overnutrition were compared with and without BED in the presence of cognitive conflicts, eating symptoms and anxious-depressive symptoms. The inclusion of cognitive conflicts had been relevant in bulimia studies but had not been investigated with respect to BED. Method: Two groups with obesity were evaluated, one without BED (OB, n = 54) and the other with BED (OB-BED, n = 48), using a social-demographic questionnaire as well as a semi-structured interview to assess BED, questionnaires (DASS-21, EDE-Q, EEQ) and the Repertory Grid Technique. Results: Overall, the OB-BED group presented more conflicts and more symptoms. The model that best differentiated between the groups included emotional eating and level of cognitive conflicts, correctly classifying 91.4% of the sample. Conclusion: These results highlight the role played by cognitive conflicts and emotional eating as differentiating elements between OB and OB-BED, with a high level of predictive accuracy.

Técnica de la Rejilla como Instrumento de Evaluación en Trastornos de la Conducta Alimentaria

“…En este sentido, se han descrito los indicadores y procedimientos matemáticos para su obtención, observándose un perfil cognitivo en promedio de alta rigidez, escasa flexibilidad y baja indefinición. Estos resultados indican que las pacientes poseen una estructura cognitiva muy estructurada y claramente definida, lo cual es coherente con resultados previos en el ámbito de la TRI en TCA (Che-nevard et al, 2012;Dada et al, 2017;Escandón-Nagel et al, 2018), así como se ha descrito en múltiples estudios la rigidez que acompaña a los TCA (Del Barrio, 2018;López y Treasure, 2011;Peinado, Quiles y Quiles, 2017;Perpiñá, 2008).…”

“…En este marco, algunos autores (Chenevard et al, 2012;Dada et al, 2017;Escandón-Nagel, Peró, Grau, Soriano y Feixas, 2018;Feixas, Cipriano y Varlotta, 2007) proponen la exploración de las relaciones interpersonales y algunos factores cognitivos mediante la Técnica de la Rejilla Interpersonal (TRI), instrumento aplicado desde la Teoría de los Constructos Personales de George Kelly (Kelly, 1955). La TRI se ubica en este contexto como una herramienta de exploración, con un formato de entrevista semiestructurada capaz de explorar los constructos de la autoestima, la autodefinición, las relaciones interpersonales (incluyendo las parentales), la estructura cognitiva y los conflictos cognitivos.…”

Emotional feeding as interpersonal emotion regulation: A developmental risk factor for binge‐eating behaviors

“…Emotional eating is associated with more frequent and intense loss of control eating (i.e., binge eating; Masheb & Grilo, 2006). In several studies, emotional eating has been used to differentiate individuals with obesity and bingeeating disorder (BED) from individuals with obesity, suggesting that this tendency to eat in response to negative affect may be a contributor to loss of control eating (Escandón-Nagel, Peró, Grau, Soriano, & Feixas, 2018;Leehr et al, 2015;Masheb & Grilo, 2006). Overall, individuals with BED report higher levels of emotional eating (Pinaquy, Chabrol, Simon, Louvet, & Barbe, 2003) and fewer strategies to regulate negative affect (Whiteside et al, 2007) than those without eating pathology.…”

Effects of the Quality of Sleep and the Mediating Role of Eating on Self-Esteem in Healthcare Personnel

“…Similar results were found by Dweck et al [33] who found a relationship between worse sleep quality and emotional and disinhibited eating. Indeed, emotional eating has been considered a predictor of Binge Eating Disorder [36]. In this line, it has been demonstrated in normal and obese populations that emotional eating is associated with a higher BMI, which may be reflected in weight gain [34].…”