A model of post-traumatic stress symptoms on binge eating through emotion regulation difficulties and emotional eating

Echeverri, Brenda; Pickett, Scott M.; Gildner, Daniel J

doi:10.1016/j.appet.2020.104659

Cited by 24 publications

(16 citation statements)

References 59 publications

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“…Our results also showed the number of potentially traumatic events, related to the earthquake, as predictors of the MOODS-SR rhythmicity and vegetative functions impairment, positively moderated by re-experiencing symptoms. There is evidence that traumatic experiences, including disasters, lead to changes in diurnal cortisol patterns (90)(91)(92) and that a cumulative trauma exposure may progressively disrupt circadian rhythms and other vegetative functions, including sleep, eating behaviors, or somatic complaints (70,(93)(94)(95)(96)(97)(98)(99). Our results showed the relationship between the traumatic events burden and rhythmicity and vegetative functions impairment in subjects with medium-high levels of re-experiencing symptoms only.…”

Section: Discussionmentioning

confidence: 55%

Disrupted Rhythmicity and Vegetative Functions Relate to PTSD and Gender in Earthquake Survivors

et al. 2020

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Background: Increasing evidence indicates that survivors to traumatic events may show disruption of sleep pattern, eating and sexual behaviors, and somatic symptoms suggestive of alterations of biorhythmicity and vegetative functions. Therefore, the aim of this study was to investigate these possible alterations in a sample of survivors in the aftermath of earthquake exposure, with particular attention to gender differences and impact of post-traumatic stress disorder (PTSD). Methods: High school senior students, who had been exposed to the 2009 L'Aquila earthquake, were enrolled 21 months after the traumatic event and evaluated by the Trauma and Loss Spectrum Self-Report to investigate PTSD rates and by a domain of the Mood Spectrum Self-Report–Lifetime Version (MOODS-SR), to explore alterations in circadian/seasonal rhythms and vegetative functions. Results: The rates of endorsement of MOODS-SR rhythmicity and vegetative functions domain and subdomain scores were significantly higher in survivors with PTSD with respect to those without it. Among all earthquake survivors, women reported higher scores than men on the rhythmicity and vegetative functions domain and subdomain scores, except for the rhythmicity and sexual functions ones. Female survivors without PTSD showed significantly higher scores than men in the rhythmicity and vegetative functions total scores and the sleep and weight and appetite subdomains. Potentially traumatic events burden predicted rhythmicity and vegetative functions impairment, with a moderation effect of re-experiencing symptoms. Conclusions: We report impairments in rhythmicity, sleep, eating, and sexual and somatic health in survivors to a massive earthquake, particularly among subjects with PTSD and higher re-experiencing symptoms, with specific gender-related differences. Evaluating symptoms of impaired rhythmicity and vegetative functions seems essential for a more accurate assessment and clinical management of survivors to a mass trauma.

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Section: Discussionmentioning

confidence: 55%

Disrupted Rhythmicity and Vegetative Functions Relate to PTSD and Gender in Earthquake Survivors

et al. 2020

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“…Using words like survive illustrates the severity of the suffering and the forces that underlie behavior, which also appears in the participants' use of expressions like “a strong urge” and “scared of what will come”. Results from recent findings suggest that unhealthy eating behavior and diet quality in people who have experienced trauma can be understood by emotional eating, emotional regulation difficulties and emotional dysregulation [ 12 – 15 , 36 , 37 ]. These findings are similar to the participants’ experiences in this present study, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Emotional regulation difficulties and emotional eating is suggested as mediators in the association between binge-eating and post-traumatic stress symptoms [ 12 ], and emotional dysregulation and dissociation have been suggested as mediators between childhood-trauma and eating psychopathology [ 13 – 15 ]. In a qualitative study by Breland et al [ 16 ], the participants reported disordered eating, such as binge-eating, as a means of short-term relief from trauma-related negative affect.…”

Section: Introductionmentioning

confidence: 99%

Inpatients experiences about the impact of traumatic stress on eating behaviors: an exploratory focus group study

et al. 2021

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Background Unhealthy changes in eating behavior among people experiencing trauma have been observed. There is, however, a lack of in-depth knowledge regarding the impact of the after effects of traumatic life experiences on eating behavior. Because eating behavior represents important components for promotion and maintenance of good health throughout life, this study aimed to explore inpatients’ lived experiences of the impact of traumatic stress on eating behavior. Method Thirteen female and two male inpatients (age range 28–62 years), recruited from a psychiatric clinic in Norway, participated in this qualitative explorative focus group study. The data analysis was performed using systematic text condensation. Results The results in the present study describe the participants’ experiences about the impact of traumatic stress on their eating behavior. Their discussions and descriptions disclosed problems that could be summarized into four main themes: “experiencing eating behaviors as coping strategies”; “experiencing being addicted to food and sweets”; “experiencing eating behaviors controlled by stress and emotions”; and “experiencing lack of appetite and reduced capacity to plan and prepare meals”. Conclusion Traumatic stress can impact eating behavior in several complex ways that over time may cause adverse health consequences. The results add to an important understanding of changes in eating behavior that might appear in people struggling to cope with the after effects of traumatic life experiences to the existing literature. To better understand the complexity of how traumatic experiences may impact eating behavior, this knowledge is important and useful for health professionals offering support to those who experience struggling with eating behavior after traumatic experiences.

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“…4,30 Numerous studies pointed out that emotion-based coping strategies led to dieting, binge eating, and impaired eating attitudes. [7][8][9][10]31 As a result, social pressure idealizing the fit woman figure, and the effect of individual differences in coping strategies between men and women, lead to a higher number of women exhibiting emotional eating than men.…”

Section: Discussionmentioning

confidence: 99%

Relationship between emotional eating and coping with stress of nursing students

Karakaş

2020

Perspect Psychiatr Care

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Purpose: This research aims to determine the relationship between the coping skills and emotional eating habits of young adults.Design and Methods: The population consisted of 473 nursing students whom registered in the Faculty of Health Sciences at a state university in Turkey during 2018 and 2019 education terms. Data were collected through the Demographic Form, Turkish Emotional Eating Scale (TEES), and Coping Style Scale (CSS).Findings: "Eating in anxiety" (r = −.174; P = .000) and "eating in the negative mood" (r = −.123; P = .007) subscale scores of TEES showed a statistically significant, negative correlation with the "self-confident approach" subscale score of CSS.Practice Implications: In light of the data, it is suggested to increase the frequency of psychological counseling offered for these students and setup behavior change training either an individual or group settings. Besides, the conjoint effort of health professionals and psychiatric nurses would be highly beneficial for the development of effective assessment tools to determine students at risk and engage in appropriate prevention strategies such as training programs that would have a direct impact on the students' habitual diet. Subsequent research is recommended incorporating additional variables such as body perception, ideal female image, expectations of perfection toward the body, and self-worth defined thru the body.

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A model of post-traumatic stress symptoms on binge eating through emotion regulation difficulties and emotional eating

Cited by 24 publications

References 59 publications

Disrupted Rhythmicity and Vegetative Functions Relate to PTSD and Gender in Earthquake Survivors

Disrupted Rhythmicity and Vegetative Functions Relate to PTSD and Gender in Earthquake Survivors

Inpatients experiences about the impact of traumatic stress on eating behaviors: an exploratory focus group study

Relationship between emotional eating and coping with stress of nursing students

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