A real world study on the genetic, cognitive and psychopathological differences of obese patients clustered according to eating behaviours

Caroleo, Mariarita; Primerano, Amedeo; Rania, Marianna; Aloi, Matteo; Pugliese, Valentina; Magliocco, Fabio; Fazia, Gilda; Filippo, A; Sinopoli, Flora; Ricchio, Marco; Arturi, Franco; Jiménez‐Murcia, Susana; Fernández‐Aranda, Fernando; Fazio, Pasquale De; Segura-Garcia, Cristina

doi:10.1016/j.eurpsy.2017.11.009

Cited by 27 publications

(33 citation statements)

References 36 publications

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“…Specifically, overweight individuals without EE were characterized by moderate levels of ED psychopathology and low levels of ER difficulties, whereas in obese individuals with EE, high scores on both measures were found. The division of obese individuals into two separate classes is in line with a recent study conducted by Caroleo et al (), who, by also using LPA, identified two groups of obese patients. First cluster consisted of patients with hyperphagia, and social eating, whereas the second cluster consisted of individuals who exhibited emotion‐related eating behaviors such as EE, BE, and grazing.…”

Section: Discussionsupporting

confidence: 86%

“…LPA is a person-centered statistical method that classifies individuals into more homogeneous groups based on their similarities on a set of variables. In the eating behavior and ED field, LPA has been utilized by several researchers (e.g., Bourdier et al, 2018;Caroleo et al, 2018;Schäfer et al, 2017;Turner et al, 2014;Wade, Crosby, & Martin, 2006). Recently, Bourdier et al (2018) also used LPA to investigate the phenotypes of positive and negative EE based on the items in the Emotional Appetite Questionnaire (EMAQ).…”

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confidence: 99%

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Investigating phenotypes of emotional eating based on weight categories: A latent profile analysis

Sultson

Akkermann

2019

Intl J Eating Disorders

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Objective We aimed to investigate the phenotypes of individuals with emotional eating (EE) based on their levels of positive and negative EE, body mass index (BMI), and preoccupation with weight, and to assess differences in eating pathology and emotion regulation (ER) difficulties among them. Method A community sample of 605 women (mean age = 29.8 years, SD = 9.6; mean BMI = 23.4 kg/m2, SD = 4.7) filled out the Positive–Negative Emotional Eating Scale, Eating Disorders Assessment Scale, and Difficulties in Emotion Regulation Scale. Data of BMI, positive EE, negative EE, and preoccupation with body weight were submitted to a latent profile analysis. Results A four‐profile model was discovered with normal weight individuals without EE (63%), normal weight individuals with EE (23%), overweight individuals without EE (9%), and obese individuals with EE (5%). A five‐profile model was also included, as a class of normal weight individuals with positive EE was found. Obese and normal weight individuals with EE showed the highest level of ER difficulties and eating pathology. Overweight individuals without EE showed moderate levels of eating pathology and low levels of ER difficulties, suggesting that high BMI itself might not be related to eating disorder (ED) psychopathology. Normal weight individuals with positive EE showed low levels of eating pathology, but moderate levels of ER difficulties. Discussion Our results suggest that negative EE could be an important risk factor for disordered eating, independent of BMI. Further, individuals with EE could benefit from learning adaptive ER strategies to prevent the onset or maintenance of ED or weight gain.

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Section: Discussionsupporting

confidence: 86%

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confidence: 99%

Investigating phenotypes of emotional eating based on weight categories: A latent profile analysis

Sultson

Akkermann

2019

Intl J Eating Disorders

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“…BED-obese also displayed an insufficient self-control schema. In fact, others (Caroleo et al, 2018;Steward et al, 2017) had already reported high impulsivity leading to severe problems with emotional regulation (Agüera et al, 2019;Zeeck et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, based on the aforementioned literature analysis and in light of the new version of the DSM‐5 alternative model of personality disorders (AMPD), the first aim of the present study was to assess and compare obese women with and without BED in relation to personological facets and EMSs. The main reason to use a group of obese non‐BED as controls derives from the fact that even if BED and non‐BED‐obese share common physical symptoms derived from their overweight, the main difference is based on the psychological symptoms underlying the ED (Aloi, Rania, de Filippis, & Segura‐Garcia, ; Caroleo et al, ; Succurro et al, ).…”

Section: Introductionmentioning

confidence: 99%

How are early maladaptive schemas and DSM‐5 personality traits associated with the severity of binge eating?

et al. 2019

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Objective The present study aimed to (a) assess and compare personological traits and early maladaptive schemas (EMSs) of obese women with and without binge eating disorder (BED) and (b) identify the variables associated with the binge severity. Method One hundred women (55 BED‐obese and 45 non‐BED‐obese) completed psychopathological and personological self‐report questionnaires. A forward stepwise linear regression analysis was performed to assess variables associated with binge eating severity. Results Not only psychopathological but also personological differences were evident between BED and non‐BED‐obese women. BED severity was significantly associated with depressivity, emotional deprivation, and defectiveness. Conclusions Our preliminary findings suggest that BED patients exhibit some EMSs that could be linked to the construct of emotional neglect and specific personological traits closely related to depressive dimensions, emotional lability, and impulsivity. In particular, binge severity is associated with the pervasiveness of depressogenic cognitive schemas, as well as those of emotional deprivation and defectiveness.

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“…metacognition and emotional regulation) features of patients with BED. In fact, affective symptoms appear associated with BED [29][30][31] and the severity of BED seems worsened in relation to impaired selfmonitoring metacognition trough the mediation of emotional dysregulation [32]. Thus, the purpose of this study is to increase the knowledge about the underlying association of clinical variables in BED through NA, in order to identify key variables that may be considered the target for psychotherapeutic interventions.…”

Section: Introductionmentioning

confidence: 99%

Metacognition and Emotional Regulation as Treatment Targets in Binge Eating Disorder: A Network Analysis Study

Aloi

Rania

Carbone

et al. 2020

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Background: This study aims to examine the underlying associations between eating, affective and metacognitive symptoms in patients with binge eating disorder (BED) through network analysis (NA), in order to identify key variables that may be considered the target for psychotherapeutic interventions. Methods: One hundred and fifty-five patients with BED completed measures of eating psychopathology, affective symptoms, emotion regulation and metacognition. A cross-sectional network was inferred by means of Gaussian Markov random field estimation using graphical LASSO and extended Bayesian information criterion (EBIC-LASSO), and central symptoms of BED were identified by means of the strength centrality index. Results: Impaired self-monitoring metacognition and difficulties on impulse control emerged as the symptoms with the highest centrality. Conversely, eating and affective features were less central. The centrality stability coefficient of strength was above the recommended cut-off, thus indicating the stability of the network. Conclusions: According to present NA findings, impaired self-monitoring metacognition and difficulties on impulse control are the central nodes in the psychopathological network of BED while eating symptoms appear marginal. If further studies with larger samples replicate these results, metacognition and impulse control could represent new targets of psychotherapeutic interventions in the treatment of BED. In light of this, Metacognitive Interpersonal Therapy (MIT) could be a promising aid in clinical practice to develop an effective treatment for BED.

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A real world study on the genetic, cognitive and psychopathological differences of obese patients clustered according to eating behaviours

Cited by 27 publications

References 36 publications

Investigating phenotypes of emotional eating based on weight categories: A latent profile analysis

Investigating phenotypes of emotional eating based on weight categories: A latent profile analysis

How are early maladaptive schemas and DSM‐5 personality traits associated with the severity of binge eating?

Metacognition and Emotional Regulation as Treatment Targets in Binge Eating Disorder: A Network Analysis Study

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