The relationship between food insecurity and binge and night eating symptoms in prebariatric surgery patients is mediated by depressive symptoms

Zickgraf, Hana F.; Stefano, Emily; Price, Julia; Veldheer, Susan; Rogers, Ann M.; Rigby, Andrea

doi:10.1016/j.soard.2019.05.018

Cited by 20 publications

(22 citation statements)

References 26 publications

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“…BED patients also engaged in emotional eating more frequently than NES patients as a response to negative emotions, or negative situations, or a combination of both ( * Roer et al, 2014). A key difference between the two disorders was also demonstrated by * Zickgraf et al's (2019) study, where the authors found that depressive symptoms fully mediated the relationship between BED and food insecurity, but only partially mediated the relationship between NES and food insecurity.…”

Section: Night Eating Syndrome and Binge Eating Disordermentioning

confidence: 69%

Night Eating Syndrome in Patients With Obesity and Binge Eating Disorder: A Systematic Review

et al. 2022

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Night eating syndrome (NES) is currently classified as an Other Specified Feeding or Eating Disorder (OSFED) under the Diagnostic Statistical Manual−5 (DSM-5). This systematic review aims to consolidate the studies that describe the sociodemographic, clinical and psychological features of NES in a population of patients with eating disorders (ED), obesity, or those undergoing bariatric surgery, and were published after the publication of the DSM-5. A further aim was to compare, where possible, NES with BED on the aforementioned variables. Lastly, we aimed to appraise the quality of the studies being included in the review. We conducted a systematic search on three databases (MEDLINE, PubMed and Embase) which resulted in the selection of 22 studies for the review. We included the articles that studied patients with NES and their sociodemographic, clinical and psychological features in a clinical (i.e., ED, obese or bariatric surgery) population, through a quantitative study design. Articles were excluded if the NES patients included in the study had a comorbid psychological disorder, and/or the sample was collected from a university/non-clinical population, and/or the study design was qualitative, and/or NES features were compared with any other disorder, except BED. Our study found that no conclusions about the link between any sociodemographic feature (such as, age, gender, income, etc.) and an NES diagnosis could be made. Further, NES patients presented with elevated ED pathology (including emotional eating and loss of control eating) and higher occurrence of depressive symptoms than controls. Contrary to the literature suggesting that NES and Binge Eating Disorder (BED; an ED subtype which is also comorbid with obesity) patients often report overlapping features, questioning the validity of NES as an ED diagnosis, we found that BED can be differentiated from NES by the higher occurrence of emotional eating, body related concerns and abnormal eating episodes. The review also suggested an overlap between NES and Sleep-Related Eating Disorder. We recommend that it is essential to study NES as an independent disorder to further develop its diagnostic criteria and treatment options, thereby, increasing the quality of life of the patients suffering from this syndrome.

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Section: Night Eating Syndrome and Binge Eating Disordermentioning

confidence: 69%

Night Eating Syndrome in Patients With Obesity and Binge Eating Disorder: A Systematic Review

et al. 2022

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“…Among adults, food insecurity has consistently been found to be cross-sectionally associated with greater likelihood of binge eating across studies of a population-based sample of emerging adults [ 48 ] and their parents [ 49 ], bariatric surgery candidates [ 50 ], and clients of food pantries [ 45 ••, 46 •]. Participants with food insecurity were more likely to report binge eating than those who were food-secure among emerging adults (25.3% versus 18.4%) [ 48 ], their parents (11.3% versus 6.4%) [ 49 ], and bariatric surgery candidates (18.4% versus 5.0%) [ 50 ]. Similarly, food pantry clients with severe food insecurity were more likely to report binge eating than those with marginal food security in the initial study by Becker and colleagues (16.4% versus 7.9%) [ 45 ••], as well as in their replication study (26.6% versus 11.9%) [ 46 •].…”

Section: Emerging Evidence For a Link Between Food Insecurity And Eatmentioning

confidence: 99%

“…The studies reviewed above represent the extent of the existing empirical literature on food insecurity and ED pathology that we identified since database inception via searches of MEDLINE and PsycINFO in July 2020. Overall, we identified a total of fourteen studies quantitatively examining the link between food insecurity and either overall ED pathology, disordered eating behaviors, or ED diagnoses [ 34 , 42 – 44 , 45 ••, 46 •, 48 – 51 , 52 ••, 53 , 55 ••, 56 ••], eleven of which were published since 2017 [ 42 , 43 , 45 ••, 46 •, 48 , 50 , 51 , 52 ••, 53 , 55 ••, 56 ••]. Although this body of research is still small, it has grown tremendously in recent years relative to the limited attention this topic previously garnered.…”

Section: Emerging Evidence For a Link Between Food Insecurity And Eatmentioning

confidence: 99%

“…To assess food insecurity, most studies used some form of the U.S. Household Food Security Scale (HFSS), which has demonstrated reliability and convergent validity [ 59 , 60 ] but relies upon retrospective recall, the impact of which on validity has not been evaluated. Some studies used the 18-item full version of the HFSS [ 44 ], the 10-item adult version [ 43 , 50 ], or the six-item short form [ 49 , 51 , 52 ••, 55 ••, 56 ••]. Other studies used the HFSS-derived two-item Hunger Vital Sign [ 42 ], a different pair of HFSS items [ 48 ], a single HFSS item [ 53 ], or the Radimer/Cornell Food Insecurity Measure [ 34 , 45 ••, 46 •].…”

Section: Emerging Evidence For a Link Between Food Insecurity And Eatmentioning

confidence: 99%

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Food Insecurity and Eating Disorders: a Review of Emerging Evidence

Hazzard

Loth

Hooper

et al. 2020

Curr Psychiatry Rep

135

108

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Purpose of Review This review summarizes emerging evidence for the relationship between food insecurity and eating disorder (ED) pathology, outlines priorities for future research in this area, and comments on considerations for clinical and public health practice. Recent Findings Among adults, food insecurity is cross-sectionally associated with higher levels of overall ED pathology, binge eating, compensatory behaviors, binge-eating disorder, and bulimia nervosa. Evidence for similar relationships among adolescents has been less robust; however, compared to studies of adults, there have been substantially fewer studies conducted in adolescents to date. Summary Emerging evidence consistently indicates that food insecurity is cross-sectionally associated with bulimic-spectrum ED pathology among adults. Findings emphasize the need for ED research to include marginalized populations who have historically been overlooked in the ED field. Much more research is needed to better understand the relationship between food insecurity and ED pathology and to determine effective ways to intervene.

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“…Food insecurity, or limited or uncertain access to nutritionally adequate food needed to sustain health, is a significant public health concern that is associated with numerous physical and mental health problems, including diabetes, depression, anxiety, suicidal ideation, and eating disorder pathology (Gundersen & Ziliak, 2015; Holben & Pheley, 2006; Myers, 2020). Food insecurity has been associated with greater frequency of binge eating (e.g., Becker, Middlemass, Gomez, & Martinez‐Abrego, 2019; Becker, Middlemass, Taylor, Johnson, & Gomez, 2017; Bruening, MacLehose, Loth, Story, & Neumark‐Sztainer, 2012; Rasmusson, Lydecker, Coffino, White, & Grilo, 2019) and compensatory behaviors (e.g., Becker et al, 2017, 2019), as well as increased shape and weight concerns (Hooper, Telke, Larson, Mason, & Neumark‐Sztainer, 2020; Stinson et al, 2018; West, Goldschmidt, Mason, & Neumark‐Sztainer, 2019; Zickgraf et al, 2019). This may occur because food insecurity often leads to alternating periods of food deprivation and food access, which may mimic the physiological and behavioral effects of dieting and promote overeating behaviors due to the effects of increased hunger drives.…”

mentioning

confidence: 99%

Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID‐19 pandemic

Christensen

Forbush

Richson

et al. 2021

Intl J Eating Disorders

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Objective This study tested the association between food insecurity and eating disorder (ED) pathology, including probable ED diagnosis, among two cohorts of university students before and during the beginning of the COVID‐19 pandemic. Method Students (n = 579) from a large Midwestern American university completed self‐report questionnaires assessing frequency of ED behaviors, ED‐related impairment, and individual food insecurity as measured by the Eating Disorder Diagnostic Scale 5, Clinical Impairment Assessment, and Radimer/Cornell, respectively. Chi‐square tests and MANOVA with post‐hoc corrections were conducted to compare demographic characteristics, ED pathology, and probable ED diagnosis prevalence between students with and without individual food insecurity. Results Partially supporting hypotheses, MANOVA indicated significantly greater frequency of objective binge eating, compensatory fasting, and ED‐related impairment for students with food insecurity compared with individuals without food insecurity. Chi‐squared tests showed higher prevalence of ED diagnoses among individuals with food insecurity compared with those without food security (47.6 vs. 31.1%, respectively, p < .01, NNT = 6.06), specifically bulimia nervosa and other specified feeding and eating disorder. There were no differences in food insecurity before or during the beginning of the COVID‐19 pandemic. Discussion Consistent with prior literature, food insecurity was associated with elevated ED psychopathology in this sample. Findings emphasize the importance of proper ED screening for college students vulnerable to food insecurity and EDs.

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The relationship between food insecurity and binge and night eating symptoms in prebariatric surgery patients is mediated by depressive symptoms

Cited by 20 publications

References 26 publications

Night Eating Syndrome in Patients With Obesity and Binge Eating Disorder: A Systematic Review

Night Eating Syndrome in Patients With Obesity and Binge Eating Disorder: A Systematic Review

Food Insecurity and Eating Disorders: a Review of Emerging Evidence

Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID‐19 pandemic

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