Pain and emotional eating: further investigation of the Yale Emotional Overeating Questionnaire in weight loss seeking patients

Masheb, Robin M.; Douglas, Megan; Kutz, Amanda M.; Marsh, Alison G.; Driscoll, Mary

doi:10.1007/s10865-020-00143-4

Cited by 10 publications

(9 citation statements)

References 27 publications

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“…Recent studies have also revealed that other critical eating pathology constructs, such as emotional eating and food addiction, are associated with high prevalence veteran problems such as PTSD, (Dorflinger & Masheb, 2018; Mitchell & Wolf, 2016) overweight, (Masheb, Ruser, Min, Bullock, & Dorflinger, 2018) and pain (Masheb, Douglas, Kutz, Marsh, & Driscoll, 2020). More generally, veteran mental health concerns, such as anxiety, (Buchholz et al, 2018; Higgins et al, 2013) PTSD, (Hoerster et al, 2015; Maguen, Cohen, Cohen, et al, 2012; Mitchell et al, 2014), depression (Higgins et al, 2013; Hoerster et al, 2015) and sleep problems such as insomnia (Dorflinger & Masheb, 2018) are associated with disordered eating and eating disorders.…”

Section: Introductionmentioning

confidence: 99%

DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans

Masheb

Ramsey

Marsh

et al. 2021

Intl J Eating Disorders

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Objective Little is known about prevalence estimates of new and revised DSM‐5 eating disorders diagnoses in general, and especially among high‐risk, underserved and diverse eating disorder populations. The aim of the current study was to determine prevalence, gender differences and correlates of DSM‐5 eating disorders in veterans. Method Iraq and Afghanistan war era veterans (N = 1,121, 51.2% women) completed the Eating Disorder Diagnostic Scale‐5 and validated measures of eating pathology and mental health between July 2014 and September 2019. Results Overall more women than men (32.8% vs. 18.8%, p < .001) reported symptoms consistent with a DSM‐5 eating disorder. Prevalence estimates (women vs. men) for the specific diagnoses were: Anorexia Nervosa (AN; 0.0% vs. 0.0%), Bulimia Nervosa (BN; 6.1% vs. 3.5%), Binge‐Eating Disorder (BED; 4.4% vs. 2.9%), Atypical AN (AAN; 13.6% vs. 4.9%), Subclinical BN (0.0% vs. 0.2%), Subclinical BED (1.4% vs. 0.6%), Purging Disorder (2.1% vs. 0.7%), and Night Eating Syndrome (NES; 5.2% vs. 6.0%). Women were more likely to have BN or AAN, and there was no difference for BED or NES among genders. The eating disorder group had a higher mean BMI, and significantly greater eating pathology and mental health symptoms than the non‐eating disorder group. Discussion Approximately one‐third of women, and one‐fifth of men, reported symptoms consistent with a DSM‐5 eating disorder diagnosis. These high prevalence estimates across genders, and associated mental health concerns, suggest an urgent need to better understand and address eating disorders in military and veteran populations.

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Section: Introductionmentioning

confidence: 99%

DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans

Masheb

Ramsey

Marsh

et al. 2021

Intl J Eating Disorders

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“…Data from a survey of over 200 adults with CNCP reported that approximately 12% of respondents ate more to feel better when they experienced pain [ 70 ]. In another study of 126 veterans, the Yale Emotional Overeating Questionnaire (YEOQ) was used to examine overeating responses to physical pain [ 71 ]. Approximately 43% of participants had engaged in at least one overeating episode in response to pain in the past month and 14% engaged in this behaviour daily [ 71 ].…”

Section: Introductionmentioning

confidence: 99%

“…In another study of 126 veterans, the Yale Emotional Overeating Questionnaire (YEOQ) was used to examine overeating responses to physical pain [ 71 ]. Approximately 43% of participants had engaged in at least one overeating episode in response to pain in the past month and 14% engaged in this behaviour daily [ 71 ]. This study proposed that those with higher pain interference are more likely to have depression and may have maladaptive pain-related coping, including overeating [ 71 ].…”

Section: Introductionmentioning

confidence: 99%

“…Approximately 43% of participants had engaged in at least one overeating episode in response to pain in the past month and 14% engaged in this behaviour daily [ 71 ]. This study proposed that those with higher pain interference are more likely to have depression and may have maladaptive pain-related coping, including overeating [ 71 ]. This may be due in part to associations between higher pain catastrophizing, low distress tolerance, and higher levels of unhealthy eating [ 72 ].…”

Section: Introductionmentioning

confidence: 99%

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Diet and Chronic Non-Cancer Pain: The State of the Art and Future Directions

Brain

Burrows

Bruggink

et al. 2021

JCM

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Nutrition plays an important role in pain management. Healthy eating patterns are associated with reduced systemic inflammation, as well as lower risk and severity of chronic non-cancer pain and associated comorbidities. The role of nutrition in chronic non-cancer pain management is an emerging field with increasing interest from clinicians and patients. Evidence from a number of recent systematic reviews shows that optimising diet quality and incorporating foods containing anti-inflammatory nutrients such as fruits, vegetables, long chain and monounsaturated fats, antioxidants, and fibre leads to reduction in pain severity and interference. This review describes the current state of the art and highlights why nutrition is critical within a person-centred approach to pain management. Recommendations are made to guide clinicians and highlight areas for future research.

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“…A variety of factors may contribute to the development of disordered eating among youth with chronic pain. First, a sedentary lifestyle due to pain combined with the use of food as a coping mechanism for pain may result in weight gain and new concerns regarding body weight and body image [7][8][9]. Second, co-morbid mood disorders (e.g.…”

Section: Introductionmentioning

confidence: 99%

Disordered eating among adolescents with chronic pain: the experience of a pediatric rheumatology subspecialty pain clinic

et al. 2021

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Background Disordered eating and chronic pain often co-occur in adolescents, but the relationship between these conditions is not well understood. We aimed to determine the prevalence of and to identify the clinical characteristics associated with the presence of disordered eating among adolescents with chronic musculoskeletal pain (CMP) presenting to a pediatric rheumatology subspecialty pain clinic. Methods This was a retrospective cohort study of pediatric patients presenting to a pediatric rheumatology subspecialty pain clinic for an initial consultation from March 2018 to March 2019. We complemented data from an existing patient registry with secondary chart review for patients identified with disordered eating. We compared patient characteristics based on the presence or absence of disordered eating among adolescents with CMP. Logistic regression modeling was used to determine factors associated with disordered eating. Results Of the 228 patients who were seen for an initial consultation in the pain clinic in 1 year, 51 (22.4%) had disordered eating. Only eight (15.7%) of the 51 patients identified with disordered eating had a previously documented formal eating disorder diagnosis. Through multivariate logistic regression modeling, we found that disordered eating was associated with older age, higher functional disability, presence of abdominal pain, presence of gastrointestinal comorbidities, and presence of anxiety (all p < 0.05). Conclusions Adolescents with chronic pain, especially those who experience gastrointestinal issues, anxiety, and greater functional disability, should be evaluated for disordered eating by the treating clinician in order to ensure timely and appropriate treatment.

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Pain and emotional eating: further investigation of the Yale Emotional Overeating Questionnaire in weight loss seeking patients

Cited by 10 publications

References 27 publications

DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans

DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans

Diet and Chronic Non-Cancer Pain: The State of the Art and Future Directions

Disordered eating among adolescents with chronic pain: the experience of a pediatric rheumatology subspecialty pain clinic

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