The current study examines the relationship of affect and eating disorder behavior in anorexia nervosa (AN) using ecological momentary assessment. Participants were 118 adult females recruited at three sites from treatment centers community advertisements. All participants met full Diagnostic statistical manual mental disorders (4th ed.) criteria or subthreshold for AN. provided handheld computers asked to report positive affect, negative loss control (LOC) eating, purging, exercise,...

Ecological momentary assessment (EMA) data suggest that global negative affect (NA) increases prior to and decreases following episodes of binge eating purging, providing support for the regulation model BN.The current study examined whether facets NA are differentially related bulimic behaviors.Women with bulimia nervosa (BN; n = 133) completed a 2-week EMA protocol.Momentary assessments 4 (Fear, Guilt, Hostility, Sadness) were derived from PANAS subscales.Trajectories modeled binge-only,...

ABSTRACT Objective The objective was to examine the trajectory of five types negative affect (global affect, fear, guilt, hostility, sadness) prior and following three eating episodes (overeating in absence loss control [OE‐only], overeating [LOC‐only], binge eating) among obese adults using ecological momentary assessment (EMA). Method Fifty (84% female) completed a two‐week EMA protocol during which they were asked record all rate each episode on continua control. Momentary measures global...

Negative affect precedes binge eating and purging in bulimia nervosa (BN), but little is known about factors that precipitate negative relation to these behaviors. We aimed assess the temporal among stressful events, affect, bulimic events natural environment using ecological momentary assessment.A total of 133 women with current BN recorded their mood, behavior, occurrence every day for 2 weeks. Multilevel structural equation mediation models evaluated relations Time 1 stress measures...

Affect regulation models of eating disorder behavior, which predict worsening affect prior to binge-eating episodes and improvement in following such episodes, have received support anorexia nervosa bulimia nervosa. However, limited work has examined the trajectories surrounding binge (BED). In current study, ecological momentary assessment data from 112 men women with BED were used examine positive (PA), negative (NA), guilt, fear, hostility, sadness relative episodes. Prior PA...

Network analysis is an emerging approach in the study of psychopathology, yet few applications have been seen eating disorders (EDs). Furthermore, little research exists regarding changes network strength after interventions. Therefore present examined structures ED and co-occurring depression anxiety symptoms before treatment for EDs.Participants from residential or partial hospital programs (N = 446) completed assessments upon admission discharge. Networks were estimated using regularized...

Abstract Background We explored the utility of “staging” anorexia nervosa (AN) by duration illness and psychological wellbeing. also investigated 12‐month symptom trajectories service usage in a large cohort patients with AN assessed for outpatient treatment. Method conducted secondary analyses on data from multisite clinical trial adults ( n = 187) recruited 22 NHS England specialist eating disorder (ED) services into digital treatment augmentation study. Clinical outcomes use were measured...

Research suggests that loss of control (LOC) while eating (the sense one cannot what or how much is eating) a more salient feature binge than the amount food consumed. This study examined unique contributions LOC and episode size to negative affect surrounding episodes in disorder (BED) obesity. Twenty-two obese adults with (n = 9) without 13) BED completed daily records patterns mood using ecological momentary assessment (EMA). Linear mixed modeling revealed across groups, greater premeal...

ABSTRACT Objective Although there is a modest relation between obesity and depression, mechanisms that contribute to this co‐occurrence are unclear. This study examined mood eating behavior among obese adults with without elevated depression symptoms. Method Obese ( N = 50) were subtyped according Beck Depression Inventory (BDI) cutoff of 14, indicating “probable depression.” Participants (BDI ≥ 14; n 15) < 35) symptoms compared on affect‐ eating‐related variables measured via...

It has been theorized that state the levels of self-control depletion (as caused by negative affect and restraint) may lead to binge eating (BE) when individuals also endorse momentary expectancies will make them feel better (EE). Given commonalities in precipitants BE across populations, current study tested this theory a sample adults with obesity using ecological assessment (EMA). Fifty obese completed EMA protocol during which they provided pre-eating episode ratings affect, restraint,...

Objective The context of eating episodes in obesity is poorly understood. This study examined emotional, physiological, and environmental correlates pathological nonpathological a heterogeneous sample obese adults. Methods Community-based participants (n = 50; 84% female [n 42]; mean [standard deviation] body mass index 40.3 [8.5]; age 43.0 [11.9]) recorded all their via ecological momentary assessment for 2 weeks. Generalized estimating equations relations between these variables...

Abstract Objective Innovative treatments and outcome measures are needed for binge‐eating disorder (BED). This randomized controlled trial compared Integrative Cognitive‐Affective Therapy (ICAT‐BED), an individual psychotherapy targeting momentary behavioral emotional precipitants of binge eating, with established cognitive‐behavioral guided self‐help (CBTgsh) treatment using standard ecological assessment (EMA) measures. Method A total 112 participants were to 17 weeks (21 sessions ICAT‐BED...

Despite robust support for the role of affect in maintenance binge eating and purging, relationship between restrictive remains poorly understood. To investigate affect, ecological momentary assessment data from 118 women with anorexia nervosa (AN) were used to examine trajectories higher-order dimensions negative (NA) positive (PA), as well lower-order NA (Fear, Guilt) PA (Joviality, Self-Assurance) relative eating. Affect modeled before after episodes AN subtype was examined a moderator...

Classifying eating disorders in youth is challenging light of developmental considerations and high rates diagnostic migration. Understanding the transactional relationships among disorder symptoms, both across transdiagnostic spectrum within specific categories, may clarify which core symptoms contribute to, maintain, eating-related psychopathology youth. We utilized network analysis to investigate interrelationships 636 treatment-seeking children adolescents (90.3% female) ages 6-18 years...

Ecological momentary assessment (EMA) research has produced contradictory findings regarding the trajectory of negative affect after binge-eating episodes. Given clinical implications, objective current study was to reconcile these inconsistencies by comparing two most commonly employed statistical approaches used analyze data.Data from EMA studies were analyzed separately. Study 1 included 118 adult females with full- or subthreshold DSM-IV anorexia nervosa. 2 131 full-threshold bulimia For...

The purpose of our study was to examine exercise dependence (EXD) in a large community-based sample runners. secondary this differences EXD symptoms between primary and EXD. Our included 2660 runners recruited from local road race (M age = 38.78 years, SD 10.80; 66.39% women; 91.62% Caucasian) who completed all measures online within 3 weeks the race. In study, prevalence lower than most previously reported rates (gamma .248, p < .001) individuals at-risk for category participated longer...

Although negative affect (NA) has been identified as a common trigger for bulimic behaviors, findings regarding NA following such behaviors have mixed. This study examined reciprocal associations between and using real-time, naturalistic data. Participants were 133 women with bulimia nervosa (BN) according to the 4th edition of Diagnostic Statistical Manual Mental Disorders who completed 2-week ecological momentary assessment protocol in which they recorded provided multiple daily ratings...

Abstract Background Outpatient interventions for adult anorexia nervosa typically have a modest impact on weight and eating disorder symptomatology. This study examined whether adding brief online intervention focused enhancing motivation to change the development of recovery identity (RecoveryMANTRA) would improve outcomes in adults with nervosa. Methods Participants ( n = 187) were recruited from 22 outpatient services throughout UK. They randomised receiving RecoveryMANTRA addition...

Abstract Objectives Eating disorder not otherwise specified (EDNOS) is the most prevalent eating disorder, yet its heterogeneity begs less reliance on this broad diagnostic category. The purpose of study was to compare women with anorexia nervosa (AN) and EDNOS, AN type (EDNOS‐AN) from a multisite eating‐related general psychopathology measures. Methods One hundred eighteen participants ( n = 59 DSM‐IV AN, EDNOS‐AN) completed structured interviews, questionnaires physical examination at...