Reinforcement sensitivity and bulimia symptoms: the role of emotion regulation

Barrios, Lindsey; Stamatovich, Sydney N.; Simons, Raluca M.; Simons, Jeffrey S.

doi:10.1007/s40519-021-01275-5

Cited by 2 publications

(2 citation statements)

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“…For rash action, studies have shown that individuals with an eating disorder have a lower distress tolerance, meaning that NA is less bearable for them, which could urge them to act rashly to relieve NA (Corstorphine et al, 2007). Though studies using questionnaires do suggest that distress tolerance could mediate the relationship between NA and negative urgency on a trait level, whether it also mediates the relation between momentary changes in NA and rash action remains unclear (Barrios et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

How negative affect does and does not lead to binge eating—The importance of craving and negative urgency in bulimia nervosa.

Leenaerts¹,

Vaessen²,

Sunaert³

et al. 2023

Journal of Psychopathology and Clinical Science

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Studies suggest that negative affect (NA) can trigger binge eating (BE) in patients with bulimia nervosa (BN). Important factors in this relation between NA and BE could be craving (an intense desire for a BE episode) and negative urgency (the tendency to act rashly when NA is high). Therefore, this study wants to firstly explore the relations between NA, craving, rash action, and BE in daily life and secondly whether craving and rash action mediate the relationship between NA and BE. A sample of 70 female patients with BN and 76 female healthy controls (HC) took part in an experience sampling study where they reported on momentary NA, craving, rash action, and eating behaviors in daily life in a burst-measurement design over a period of 12 months. Assessments occurred eight times a day on Thursdays, Fridays, and Saturdays in seven bursts of 3 weeks, all separated by 5-week periods of no assessment. First, NA predicted subsequent rash action in the whole sample but this was more pronounced in patients with BN. Second, NA predicted subsequent craving in patients with BN, but not in HC. Third, rash action and craving predicted subsequent BE in patients with BN. Fourth, NA had competing effects on eating in patients with BN, predicting subsequent BE through rash action and craving, but also predicting subsequent not eating. These results suggest that NA can lead to BE in daily life through rash action and craving, but that NA can also lead to dietary restriction.

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Section: Discussionmentioning

confidence: 99%

How negative affect does and does not lead to binge eating—The importance of craving and negative urgency in bulimia nervosa.

Leenaerts¹,

Vaessen²,

Sunaert³

et al. 2023

Journal of Psychopathology and Clinical Science

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show abstract

“…The proportional activity of these sites has significant implications for several approach/avoidance patterns. Specifically, elevated behavioural inhibition and FFFS activity broadly increase vulnerability to anxiety and internalising disorders and facilitate avoidance of aversive and distressing stimuli, while the BAS elicits approach behaviours toward pleasant stimuli, and thus, is more associated with impulsivity and externalising disorders (6). Recent findings suggest a significant direct effect of affective lability and significant indirect effects of emotion regulation (ER) difficulties and distress intolerance on impaired ability to self-control and cease eating (7).…”

Section: Introductionmentioning

confidence: 99%

Eating and Control Styles Axis in Mentalisation-Based Psychotherapy in Eating Disorders: A Randomised Clinical Trial

Golan

2022

Front. Psychiatry

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BackgroundClinicians need an instrument that helps their patients with eating disorders (ED) to explore their agent’s inner intentions and confront negative behaviour and control styles.ObjectivesTo assess the feasibility and impact of an eating and control styles axis (ECOSA) during the first 8 months of mentalisation-based psychotherapy with a community-based sample of ED patients.MethodsSix experienced therapists and their consecutively admitted patients were randomly allocated to the intervention and control groups. A total of 94 women, Mage = 24 were recruited between June 2020 and October 2021. Ninety completed it. Both groups received mentalisation-based psychotherapy, but only the intervention group used the ECOSA repeatedly. Therapists and participants were blinded to the study aims and hypothesis. Fidelity assessment was applied to ensure that the two groups differed mainly in terms of ECOSA usage.ResultsThe use of ECOSA, although less than advised, was reported as feasible. The effect size of the improvement in reflective functioning was larger than that of the control group and correlated significantly only in the intervention group with EDE-Q score (r = 0.46; p = 0.001).ConclusionAlthough the study limitations: selective population, relatively small sample size and the lack of controlled confounder, the combined quantitative and qualitative results lend preliminary evidence for the validity and contribution of ECOSA as a possible instrument that may upgrade the clinician’s toolbox in the treatment of ED. A more rigorous study design is needed to explore the potential usage of ECOSA as a clinical tool to enhance mentalisation among people with ED.

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Reinforcement sensitivity and bulimia symptoms: the role of emotion regulation

Cited by 2 publications

References 59 publications

How negative affect does and does not lead to binge eating—The importance of craving and negative urgency in bulimia nervosa.

How negative affect does and does not lead to binge eating—The importance of craving and negative urgency in bulimia nervosa.

Eating and Control Styles Axis in Mentalisation-Based Psychotherapy in Eating Disorders: A Randomised Clinical Trial

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