Preliminary data that psychological treatment and baseline anxiety are associated with a decrease in postprandial fullness and early satiation for individuals with bulimia nervosa and related other specified feeding or eating disorder.

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Title: Preliminary data that psychological treatment and baseline anxiety are associated with a decrease in postprandial fullness and early satiation for individuals with bulimia nervosa and related other specified feeding or eating disorder.
Authors: Forney, K. Jean, Burton Murray, Helen, Himawan, Lina, Juarascio, Adrienne S.
Source: International Journal of Eating Disorders. Dec2023, Vol. 56 Issue 12, p2343-2348. 6p.
Subjects: Anxiety diagnosis, Appetite, Pilot projects, Mindfulness, Food consumption, Satisfaction, Acquisition of data, Behavior therapy, Treatment effectiveness, Bulimia, Questionnaires, Descriptive statistics, Research funding, Anorexia nervosa, Eating disorders, Secondary analysis, Cognitive therapy, Adults
Abstract: Objective: Gastrointestinal symptoms, particularly postprandial fullness, are frequently reported in eating disorders. Limited data exist evaluating how these symptoms change in response to outpatient psychological treatment. The current study sought to describe the course of postprandial fullness and early satiation across psychological treatment for adults with bulimia nervosa and related other specified feeding or eating disorders and to test if anxiety moderates treatment response. Methods: Secondary data analysis was conducted on questionnaire data provided by 30 individuals (80% white, M(SD)age = 31.43(13.44) years; 90% female) throughout treatment and six‐month follow‐up in a pilot trial comparing mindfulness and acceptance‐based treatment with cognitive‐behavioral therapy for bulimia nervosa. Participants completed items from the Rome IV Diagnostic Questionnaire for Adult Functional Gastrointestinal Disorders and the State Trait Anxiety Inventory. Results: Postprandial fullness and early satiation both significantly decreased over time (ds = 1.23–1.54; p's <.001). Baseline trait anxiety moderated this outcome, such that greater decreases were observed for those with higher baseline anxiety (p =.02). Discussion: Results extend prior work in inpatient samples by providing preliminary data that postprandial fullness and early satiation decrease with outpatient psychological treatment for bulimia nervosa. Baseline anxiety moderated this effect for postprandial fullness. Future work should replicate findings in a larger sample and test anxiety as a mechanism underlying postprandial fullness in eating disorders. Public Significance: The current study found that common gastrointestinal symptoms (postprandial fullness and early satiation) decrease over the course of outpatient psychotherapy for adults with full and subthreshold bulimia nervosa. Postprandial fullness decreased more across time for those high in anxiety. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Preliminary data that psychological treatment and baseline anxiety are associated with a decrease in postprandial fullness and early satiation for individuals with bulimia nervosa and related other specified feeding or eating disorder.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22International+Journal+of+Eating+Disorders%22&quot;&gt;International Journal of Eating Disorders&lt;/searchLink&gt;. Dec2023, Vol. 56 Issue 12, p2343-2348. 6p.
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– Name: Abstract
  Label: Abstract
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  Data: Objective: Gastrointestinal symptoms, particularly postprandial fullness, are frequently reported in eating disorders. Limited data exist evaluating how these symptoms change in response to outpatient psychological treatment. The current study sought to describe the course of postprandial fullness and early satiation across psychological treatment for adults with bulimia nervosa and related other specified feeding or eating disorders and to test if anxiety moderates treatment response. Methods: Secondary data analysis was conducted on questionnaire data provided by 30 individuals (80% white, M(SD)age = 31.43(13.44) years; 90% female) throughout treatment and six‐month follow‐up in a pilot trial comparing mindfulness and acceptance‐based treatment with cognitive‐behavioral therapy for bulimia nervosa. Participants completed items from the Rome IV Diagnostic Questionnaire for Adult Functional Gastrointestinal Disorders and the State Trait Anxiety Inventory. Results: Postprandial fullness and early satiation both significantly decreased over time (ds = 1.23–1.54; p&#39;s &lt;.001). Baseline trait anxiety moderated this outcome, such that greater decreases were observed for those with higher baseline anxiety (p =.02). Discussion: Results extend prior work in inpatient samples by providing preliminary data that postprandial fullness and early satiation decrease with outpatient psychological treatment for bulimia nervosa. Baseline anxiety moderated this effect for postprandial fullness. Future work should replicate findings in a larger sample and test anxiety as a mechanism underlying postprandial fullness in eating disorders. Public Significance: The current study found that common gastrointestinal symptoms (postprandial fullness and early satiation) decrease over the course of outpatient psychotherapy for adults with full and subthreshold bulimia nervosa. Postprandial fullness decreased more across time for those high in anxiety. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.24068
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 2343
    Subjects:
      – SubjectFull: Anxiety diagnosis
        Type: general
      – SubjectFull: Appetite
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Mindfulness
        Type: general
      – SubjectFull: Food consumption
        Type: general
      – SubjectFull: Satisfaction
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Behavior therapy
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Bulimia
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Adults
        Type: general
    Titles:
      – TitleFull: Preliminary data that psychological treatment and baseline anxiety are associated with a decrease in postprandial fullness and early satiation for individuals with bulimia nervosa and related other specified feeding or eating disorder.
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            NameFull: Forney, K. Jean
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            NameFull: Burton Murray, Helen
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            NameFull: Himawan, Lina
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            NameFull: Juarascio, Adrienne S.
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            – D: 01
              M: 12
              Text: Dec2023
              Type: published
              Y: 2023
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