Maintenance of binge eating through negative mood: A naturalistic comparison of binge eating disorder and bulimia nervosa

Anja Hilbert · Brunna Tuschen‐Caffier

206 citations0/0 files storedInternational Journal of Eating Disorders

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Mental Health Research Topics

Abstract

OBJECTIVE: To examine negative mood as a proximal antecedent and reinforcing condition of binge eating in binge eating disorder (BED) and bulimia nervosa (BN). METHOD: Using an ecological momentary assessment design, 20 women with BED, 20 women with BN, and 20 nonclinical control women were recruited from the community, provided with a portable minicomputer, and asked to rate their mood and list their thoughts at randomly-generated beep sounds and before, during, and after episodes of eating. RESULTS: In both eating disorder groups mood before binge eating was more negative than before regular eating and at random assessment. Binge eating was followed by a deterioration of mood. The BED group revealed less antecedent negative mood than the BN group and less concomitant negative cognitions about food/eating and stress. CONCLUSION: Affect regulation difficulties likely lead to binge eating in both disorders, but binge eating may not be effective for regulating overall mood.

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References

2022Diagnostic and Statistical Manual of Mental Disorders 2003Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment 1991Binge eating as escape from self-awareness.1983SCL-90-R, Administration, Scoring, and Procedures Manual-II for the R(evised) Version and Other Instruments of the Psychopathology Rating Scale Series 1994Ecological Momentary Assessment (Ema) in Behavioral Medicine 1994Binge Eating: Nature, Assessment and Treatment 1993Binge eating disorder: Its further validation in a multisite study 2001Dialectical behavior therapy for binge eating disorder.

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