Kelly C Berg1, Ross D Crosby2,3, Li Cao2, Scott J Crow1,4, Scott G Engel2,3, Stephen A Wonderlich2,3, Carol B Peterson1,4. 1. Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota. 2. Neuropsychiatric Research Institute, Fargo, North Dakota. 3. Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota. 4. The Emily Program, Saint Paul, Minnesota.
Abstract
OBJECTIVE: The objective was to examine the trajectory of five types of negative affect (global negative affect, fear, guilt, hostility, sadness) prior to and following three types of eating episodes (overeating in the absence of loss of control [OE-only], loss of control eating in the absence of overeating [LOC-only], and binge eating) among obese adults using ecological momentary assessment (EMA). METHOD: Fifty obese adults (84% female) completed a two-week EMA protocol during which they were asked to record all eating episodes and rate each episode on continua of overeating and loss of control. Momentary measures of global negative affect, fear, guilt, hostility, and sadness were assessed using an abbreviated version of the Positive and Negative Affect Schedule (PANAS). Trajectories for each of the five types of negative affect were modeled prior to and following episodes of OE-only, LOC-only, and binge eating. RESULTS: Consistent with previous findings, global negative affect and Guilt increased prior to and decreased following binge eating episodes (all ps < .05). Guilt also decreased following OE-only episodes (p < .05). DISCUSSION: These results are consistent with the affect regulation model of binge eating and suggest that binge eating may function to regulate global negative affect, and more specifically, guilt among obese adults. These data suggest that the relationship between negative affect and binge eating may not be unique to individuals with clinical eating disorders and indicate that targeting negative affect may be an effective strategy for the treatment of binge eating in the context of obesity.
OBJECTIVE: The objective was to examine the trajectory of five types of negative affect (global negative affect, fear, guilt, hostility, sadness) prior to and following three types of eating episodes (overeating in the absence of loss of control [OE-only], loss of control eating in the absence of overeating [LOC-only], and binge eating) among obese adults using ecological momentary assessment (EMA). METHOD: Fifty obese adults (84% female) completed a two-week EMA protocol during which they were asked to record all eating episodes and rate each episode on continua of overeating and loss of control. Momentary measures of global negative affect, fear, guilt, hostility, and sadness were assessed using an abbreviated version of the Positive and Negative Affect Schedule (PANAS). Trajectories for each of the five types of negative affect were modeled prior to and following episodes of OE-only, LOC-only, and binge eating. RESULTS: Consistent with previous findings, global negative affect and Guilt increased prior to and decreased following binge eating episodes (all ps < .05). Guilt also decreased following OE-only episodes (p < .05). DISCUSSION: These results are consistent with the affect regulation model of binge eating and suggest that binge eating may function to regulate global negative affect, and more specifically, guilt among obese adults. These data suggest that the relationship between negative affect and binge eating may not be unique to individuals with clinical eating disorders and indicate that targeting negative affect may be an effective strategy for the treatment of binge eating in the context of obesity.
Authors: Kelly C Berg; Carol B Peterson; Ross D Crosby; Li Cao; Scott J Crow; Scott G Engel; Stephen A Wonderlich Journal: Psychiatry Res Date: 2013-11-05 Impact factor: 3.222
Authors: L K G Hsu; B Mulliken; B McDonagh; S Krupa Das; W Rand; C G Fairburn; B Rolls; M A McCrory; E Saltzman; S Shikora; J Dwyer; S Roberts Journal: Int J Obes Relat Metab Disord Date: 2002-10
Authors: Joseph A Wonderlich; Jason M Lavender; Stephen A Wonderlich; Carol B Peterson; Scott J Crow; Scott G Engel; Daniel Le Grange; James E Mitchell; Ross D Crosby Journal: Int J Eat Disord Date: 2014-09-05 Impact factor: 4.861
Authors: Kathryn E Smith; Tyler B Mason; Ross D Crosby; Li Cao; Rachel C Leonard; Chad T Wetterneck; Brad E R Smith; Nicholas R Farrell; Bradley C Riemann; Stephen A Wonderlich; Markus Moessner Journal: Psychol Med Date: 2018-04-15 Impact factor: 7.723
Authors: Ann F Haynos; Kelly C Berg; Li Cao; Ross D Crosby; Jason M Lavender; Linsey M Utzinger; Stephen A Wonderlich; Scott G Engel; James E Mitchell; Daniel Le Grange; Carol B Peterson; Scott J Crow Journal: J Abnorm Psychol Date: 2016-11-28
Authors: Kathryn E Smith; Tyler B Mason; Ross D Crosby; Scott G Engel; Scott J Crow; Stephen A Wonderlich; Carol B Peterson Journal: Appetite Date: 2017-09-21 Impact factor: 3.868
Authors: Laura A Berner; Ross D Crosby; Li Cao; Scott G Engel; Jason M Lavender; James E Mitchell; Stephen A Wonderlich Journal: J Psychiatr Res Date: 2017-04-26 Impact factor: 4.791
Authors: Gail A Williams-Kerver; Lauren M Schaefer; Misty A W Hawkins; Janis H Crowther; Jennifer Duncan Journal: Surg Obes Relat Dis Date: 2019-08-12 Impact factor: 4.734
Authors: Andrea B Goldschmidt; Ross D Crosby; Li Cao; Stephen A Wonderlich; James E Mitchell; Scott G Engel; Carol B Peterson Journal: Int J Eat Disord Date: 2017-11-07 Impact factor: 4.861