Examining the role of distress tolerance and negative urgency in binge eating behavior among women

Kelly, Nichole R.; Cotter, Elizabeth W.; Mazzeo, Suzanne E.

doi:10.1016/j.eatbeh.2014.06.012

Cited by 48 publications

(44 citation statements)

References 63 publications

(86 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While Lavender and colleagues (2015) concluded that AN and BN do not appear to differ in behavioral control when distressed, our results are consistent with findings that BN is associated with higher emotional reactivity compared to AN (Tapajoz et al, 2015), that negative urgency is greater among people with binge eating behavior (Kelly et al, 2014; Manjrekar et al, 2015), and that NSSI is particularly salient among those reporting binge and purge behaviors (Kostro et al, 2014). Taken together, these findings suggest that emotional reactivity may be a useful factor to specifically examine the development and maintenance of BN, and that reactivity may be most relevant to the co-occurrence of NSSI and BN specifically, as opposed to other EDs.…”

Section: Discussionsupporting

confidence: 88%

Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury

Hayes

Styer

Washburn

2017

Psychiatry Research

View full text Add to dashboard Cite

Emotional reactivity is theorized to contribute to both eating disorders (ED) and nonsuicidal self-injury (NSSI). Although EDs and NSSI frequently co-occur, no study has examined emotional reactivity in individuals with both conditions. This study examined the following hypotheses in a large clinical sample (N=648): (1) patients with co-occurring ED and NSSI would report higher emotional reactivity and more severe clinical characteristics; (2) among those with EDs, patients with bulimia nervosa (BN) would be more likely to report NSSI and evidence the highest emotional reactivity; and (3) higher emotional reactivity would be associated with worse treatment outcomes. Data were collected at admission and discharge from inpatient, partial hospitalization, and intensive outpatient treatment programs for ED or NSSI. The NSSI-only and co-occurring groups reported significantly higher emotional reactivity than the ED-only group. Among those with EDs, individuals with BN reported higher emotional reactivity and were more likely to engage in NSSI compared to those with anorexia nervosa. Emotional reactivity was inconsistently related to treatment outcomes among the co-occurring and ED-only groups. Results highlight the importance of emotional reactivity in clinical presentation, particularly when NSSI is present.

show abstract

Section: Discussionsupporting

confidence: 88%

Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury

Hayes

Styer

Washburn

2017

Psychiatry Research

View full text Add to dashboard Cite

show abstract

“…Indeed, self-reported negative urgency appears to be associated with a poor ability to inhibit responses in the context of risk as measured by the Iowa Gambling Task, a behavioral measure of impulsivity (Billieux et al, 2010; Dolan, Bechara, & Nathan, 2008). A limited amount of previous research has also examined the association between negative urgency and distress tolerance, and results indicate a moderate correlation, as well as unique and interactive predictive validity of both constructs for similar outcomes (Cougle et al, 2011; Kelly et al, 2014; Peterson et al, 2014; Weitzman et al, 2011; Wray et al, 2012). However, negative urgency and positive urgency appear to be highly correlated (Cyders et al, 2007; Pang et al, 2014; Spillane, Smith, & Kahler, 2010) and load well onto a single factor of urgency (Cyders & Smith, 2008).…”

mentioning

confidence: 99%

Negative affect mediates the relation between trait urgency and behavioral distress tolerance.

Borges¹,

Dahne²,

Lim³

et al. 2017

Emotion

View full text Add to dashboard Cite

Distress tolerance is associated with a range of psychopathology and risk-taking behavior. Current research suggests that the behavioral ability to persist at goal-directed behavior when distressed may be malleable. However, little is known about the contributing factors that underlie individual differences in distress tolerance. Trait urgency, or the tendency to act impulsively in the context of acute changes in affect, may predict distress tolerance because the prepotent response to avoid or remove an aversive state may undermine persistence. To date, most research has examined the role of negative urgency, a valenced subfactor of urgency, in relation to distress tolerance. However, the broad trait of urgency may be associated with a greater change in affect that precedes the inability to tolerate distress. The current study examined whether greater changes in negative affect was indeed a mediator in the relationship between trait urgency and behavioral distress tolerance. The effects of both positive and negative urgency on affect change were examined to investigate the potential contribution of the broader urgency trait. The results suggest that a greater change in negative affect over the course of a stressor mediated the association between both subfactors of urgency and distress tolerance. These findings suggest that trait urgency, regardless of valence, may be associated with experiencing greater changes in affect that ultimately undermine the ability to tolerate distress. These findings also highlight important components of distress tolerance that could inform behavioral interventions.

show abstract

“…Several studies have shown that the dispositional tendency to behave rashly when distressed (i.e., negative urgency) predicts LOC eating onset in youth (Combs, Pearson, & Smith, 2011; Fischer, Peterson, & McCarthy, 2013; Kelly, Cotter, & Mazzeo, 2014; Pearson, Combs, Zapolski, & Smith, 2012), but to our knowledge, only one study has examined dimensions of emotion regulation more broadly among youth with LOC eating (Czaja et al, 2009). In this small cross-sectional study of pre-adolescent children, those with LOC eating reported greater use of maladaptive emotional regulation strategies such as perseverating and giving up than controls.…”

mentioning

confidence: 99%

Emotion Regulation and Loss of Control Eating in Community-Based Adolescents

Goldschmidt

Lavender

Hipwell

et al. 2016

J Abnorm Child Psychol

View full text Add to dashboard Cite

The current study investigated concurrent and prospective associations between emotion-related constructs and loss of control (LOC) eating in adolescents. Community-based females (N=588) completed annual self-report assessments of LOC eating, emotional awareness, emotion regulation strategies, and neuroticism from ages 16–18 years. Linear regressions and a regression-based multiple mediation model using bootstrapping were computed to examine the relationships among emotion-related constructs and LOC eating frequency. In the concurrent model, age 18 emotional awareness and emotion regulation strategies were associated with age 18 LOC eating, F(6, 416)=12.11, p<.001, accounting for 4.5% of the variance after controlling for demographics, body mass index, and neuroticism, F change=10.81, p<.001. In the prospective model, age 17 emotional awareness predicted age 18 LOC eating, F(7, 425)=11.67, p<.001, accounting for 1.7% of unique variance beyond the effects of age 16 LOC eating and age 17 demographics, body mass index, and neuroticism, F change=4.26, p=.015. In the multiple mediation model, age 18 emotion regulation strategies mediated the association between age 17 neuroticism and age 18 LOC eating, indirect effect estimate=.003, 95% confidence interval=.001–.005, after controlling for age 16 LOC eating and age 17 demographics, body mass index, and emotion regulation variables. Results suggest that deficient emotion regulation may contribute to the onset and maintenance of LOC eating in adolescence (although effects were small), and may partially explain the well-established prospective relationship between negative emotionality and later LOC eating. Prevention and early intervention programs should seek to improve adaptive coping in at-risk populations.

show abstract

Examining the role of distress tolerance and negative urgency in binge eating behavior among women

Cited by 48 publications

References 63 publications

Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury

Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury

Negative affect mediates the relation between trait urgency and behavioral distress tolerance.

Emotion Regulation and Loss of Control Eating in Community-Based Adolescents

Contact Info

Product

Resources

About