Investigating Binge Eating Using Ecological Momentary Assessment: The Importance of an Appropriate Sampling Frequency

Kockler, Tobias D.; Santangelo, Philip; Ebner‐Priemer, Ulrich W.

doi:10.3390/nu10010105

Cited by 29 publications

(21 citation statements)

References 5 publications

(8 reference statements)

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“…Whereas the time intervals in prior studies ranged between 1.33 (Houben et al, 2017) and 2 to 3 hr (e.g., Andrewes et al, 2017a), we used 1-hr intervals (i.e., the highest sampling frequency to date). We propose that high sampling-frequency assessments are more effective when investigating short-term antecedents of dysfunctional behaviors than the less frequent samplings used in previous studies (Kockler et al, 2018). Moreover, our result fits both patients' retrospective reports of antecedents of dysfunctional behaviors (Kleindienst et al, 2008) as well as theoretical assumptions (Hooley & Franklin, 2018;Linehan, 1993).…”

Section: Discussionsupporting

confidence: 76%

Within- and Between-Persons Effects of Self-Esteem and Affective State as Antecedents and Consequences of Dysfunctional Behaviors in the Everyday Lives of Patients With Borderline Personality Disorder

Santangelo

Holtmann

Hosoya

et al. 2020

Clinical Psychological Science

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Dysfunctional behaviors are conceptualized as maladaptive affective coping attempts in borderline personality disorder (BPD). The recent benefits-and-barriers model extended the affective function assumption by adding self-esteem as a barrier to engaging in dysfunctional behaviors. Patients with BPD ( N = 119) carried e-diaries to report their current self-esteem, emotional valence, tense arousal, and whether they engaged in dysfunctional behaviors 12 times a day for 4 days. Dynamic structural equation modeling revealed that on the within-person level, high momentary negative affect predicted dysfunctional behaviors, and on the between-person level, low trait self-esteem predicted dysfunctional behaviors. We also found an association between engaging in dysfunctional behaviors and momentary self-esteem and trait levels of valence and tense arousal. Moreover, our results indicate a deterioration of, rather than relief from, negative affective state after dysfunctional behaviors. These findings highlight the importance of emotion-regulation skills and reestablishing a positive self-view as important treatment targets to reduce dysfunctional behaviors in BPD.

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Section: Discussionsupporting

confidence: 76%

Within- and Between-Persons Effects of Self-Esteem and Affective State as Antecedents and Consequences of Dysfunctional Behaviors in the Everyday Lives of Patients With Borderline Personality Disorder

Santangelo

Holtmann

Hosoya

et al. 2020

Clinical Psychological Science

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“…Further research is needed to understand if there is systematic bias in the types of eating episodes that are reported versus omitted in momentary studies of eating behavior, and to determine methods for improving response rates to signal-contingent recordings (e.g., providing immediate incentives such as credit towards online applications, rather than prorated incentives provided at the completion of the study). Indeed, future studies may benefit from employing more frequent daily assessments, while reducing the overall duration of the sampling period and the number of EMA items, in order to both address participant burden and understand the influence of rapidly changing constructs, such as affective state, on eating behavior (Kockler, Santangelo, & Ebner-Priemer, 2018).…”

Section: Discussionmentioning

confidence: 99%

Ecological momentary assessment of maladaptive eating in children and adolescents with overweight or obesity

Goldschmidt

Smith

Crosby

et al. 2018

Intl J Eating Disorders

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Eating-related factors appear to be most strongly associated with LOC severity, while environmental factors were most associated with overeating severity. Interventions targeting maladaptive eating in youth with overweight/obesity may benefit from helping youth incorporate palatable foods and satisfy cravings in a planned and controlled manner, and enhancing awareness of social-contextual effects on eating.

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“…Seemingly simple choices in study design can have a major impact, for example (Kockler, Santangelo, & Ebner-Priemer, 2018). Most forms of analysis of EMA requires multi-level models that are still focused on the collective level of data in parsing out the means and variances of important study variables (Hedeker, Mermelstein, & Demirtas, 2012; for more comprehensive overviews of EMA methods, see Csikszentmihalyi & Larson, 1987, Stone & Shiffman, 1994, and Shiffman, Stone, & Hufford, 2008.…”

Section: Ecological Momentary Assessmentmentioning

confidence: 99%

The role of the individual in the coming era of process-based therapy

Hayes

Hofmann

Stanton

et al. 2019

Behaviour Research and Therapy

210

157

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For decades the development of evidence-based therapy has been based on experimental tests of protocols designed to impact psychiatric syndromes. As this paradigm weakens, a more process-based therapy approach is rising in its place, focused on how to best target and change core biopsychosocial processes in specific situations for given goals with given clients. This is an inherently more idiographic question than has normally been at issue in evidence-based therapy. In this article we explore methods of assessment and analysis that can integrate idiographic and nomothetic approaches in a process-based era. PBT and the Individual 4 The Role of the Individual in the Coming Era of Process-Based Therapy Questioning assumptions in science is disruptive. Within a defined area of study, a priori analytic assumptions provide the scaffolding for which questions are asked, which methods are used, and which data are deemed relevant. Professionals often view questions, methods, and analytic units simply as the required tools of good science-not reflections of assumptions-and as a result there can be a sense of disorientation when times of upheaval arrive and assumptions are pointed out and critically examined. So it is today within the domain of mental health, and the intervention science linked to it. For decades is has been assumed that a satisfactory field of evidence-based treatment could emerge based on adequate experimental tests of protocols focused on psychiatric syndromes. This protocols for syndromes era had a coherent set of key strategic assumptions built into its scientific and public health strategy-but every one of them is now being openly questioned. At the same time, a powerful alternative strategic agenda is emerging that echoes some of the process-based and idiographic assumptions of the earliest days of behavioral research, as well as the therapy based upon it. We are reminded of that history by the very name of this, the oldest of all of the applied behavioral journals. However, revitalization of the study of change processes that apply idiographically is not a mere repeat of the past, since it encompasses questions, methods, and data that are distinct and new (Hayes & Hofmann, 2017, 2018; Hofmann & Hayes, 2018).

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Investigating Binge Eating Using Ecological Momentary Assessment: The Importance of an Appropriate Sampling Frequency

Abstract: With great interest, we read the recently published review on emotion regulation in binge eating disorder (BED) by Dingemans et al. [1].[...]

Cited by 29 publications

References 5 publications

Within- and Between-Persons Effects of Self-Esteem and Affective State as Antecedents and Consequences of Dysfunctional Behaviors in the Everyday Lives of Patients With Borderline Personality Disorder

Within- and Between-Persons Effects of Self-Esteem and Affective State as Antecedents and Consequences of Dysfunctional Behaviors in the Everyday Lives of Patients With Borderline Personality Disorder

Ecological momentary assessment of maladaptive eating in children and adolescents with overweight or obesity

The role of the individual in the coming era of process-based therapy

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