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Associations of social and cognitive‐behavioral variables with disinhibited eating and anxiety: An ecological momentary assessment study.

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Title: Associations of social and cognitive‐behavioral variables with disinhibited eating and anxiety: An ecological momentary assessment study.
Authors: Gutierrez‐Colina, Ana M., Aichele, Stephen, Lavender, Jason M., Sanchez, Natalia, Thorstad, Isabel, Gulley, Lauren D., Emerick, Jill E., Schrag, Ruby, Thomas, Victoria, Spinner, Holly, Arnold, Thomas, Heroy, Andrew, Haigney, Mark C., Tanofsky‐Kraff, Marian, Shomaker, Lauren B.
Source: International Journal of Eating Disorders. May2024, Vol. 57 Issue 5, p1213-1223. 11p.
Subjects: Pessimism, Body mass index, Research funding, Body weight, Social factors, Anxiety, Eating disorders, Teenagers' conduct of life, Psychological stress, Food habits, Psychological tests, Avoidance (Psychology), Thought & thinking, Cognition, Psychosocial factors, Adolescence
Abstract: Objective: Among adolescents, disinhibited eating and anxiety commonly co‐occur. Precision intervention approaches targeting unique mechanistic vulnerabilities that contribute to disinhibited eating and anxiety may therefore be helpful. However, the effectiveness of such interventions hinges on knowledge of between‐ and within‐person associations related to disinhibited eating, anxiety, and related processes. Method: A sample of 39 adolescent females (12–17 years) with elevated anxiety and above‐average weight (BMI %ile ≥ 75th) completed measures of theoretically driven social and cognitive‐behavioral variables, disinhibited eating, and anxiety via ecological momentary assessment over 7 days. Data were analyzed using mixed‐effects models. Results: Between‐person differences in social stressors were linked to emotional eating, eating in the absence of hunger, and anxiety, whereas between‐person differences in negative thoughts were associated with all disinhibited eating variables and anxiety. Between‐person differences in avoidance were not related to any outcome. Additionally, between‐person differences in social stressors and negative thoughts—as well as within‐person deviations (from person‐average levels) of social stressors, negative thoughts, and avoidance—were associated with anxiety. In turn, between‐person differences in anxiety predicted eating in the absence of hunger and emotional eating, and within‐person deviations in anxiety were associated with emotional eating at any given time point. Discussion: Findings support elements of both the interpersonal and cognitive‐behavioral models of disinhibited eating. Differential trigger effects on anxiety, both at the between‐ and within‐person levels, and significant associations between anxiety and all eating‐related outcomes, highlight the potential utility of interventions targeting individual differences in sensitivity to anxiety triggers. Public Significance: Findings provide support for the interpersonal and cognitive‐behavioral models of disinhibited eating, highlighting anxiety as a salient vulnerability and potential mechanistic factor underlying disinhibited eating. Social, cognitive, and behavioral variables were differentially related to anxiety across participants, suggesting potential for future intervention tailoring and intervention selection based on adolescents' sensitivity to anxiety as a trigger for disinhibited eating behavior. [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.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Associations of social and cognitive‐behavioral variables with disinhibited eating and anxiety: An ecological momentary assessment study.
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. May2024, Vol. 57 Issue 5, p1213-1223. 11p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Among adolescents, disinhibited eating and anxiety commonly co‐occur. Precision intervention approaches targeting unique mechanistic vulnerabilities that contribute to disinhibited eating and anxiety may therefore be helpful. However, the effectiveness of such interventions hinges on knowledge of between‐ and within‐person associations related to disinhibited eating, anxiety, and related processes. Method: A sample of 39 adolescent females (12–17 years) with elevated anxiety and above‐average weight (BMI %ile ≥ 75th) completed measures of theoretically driven social and cognitive‐behavioral variables, disinhibited eating, and anxiety via ecological momentary assessment over 7 days. Data were analyzed using mixed‐effects models. Results: Between‐person differences in social stressors were linked to emotional eating, eating in the absence of hunger, and anxiety, whereas between‐person differences in negative thoughts were associated with all disinhibited eating variables and anxiety. Between‐person differences in avoidance were not related to any outcome. Additionally, between‐person differences in social stressors and negative thoughts—as well as within‐person deviations (from person‐average levels) of social stressors, negative thoughts, and avoidance—were associated with anxiety. In turn, between‐person differences in anxiety predicted eating in the absence of hunger and emotional eating, and within‐person deviations in anxiety were associated with emotional eating at any given time point. Discussion: Findings support elements of both the interpersonal and cognitive‐behavioral models of disinhibited eating. Differential trigger effects on anxiety, both at the between‐ and within‐person levels, and significant associations between anxiety and all eating‐related outcomes, highlight the potential utility of interventions targeting individual differences in sensitivity to anxiety triggers. Public Significance: Findings provide support for the interpersonal and cognitive‐behavioral models of disinhibited eating, highlighting anxiety as a salient vulnerability and potential mechanistic factor underlying disinhibited eating. Social, cognitive, and behavioral variables were differentially related to anxiety across participants, suggesting potential for future intervention tailoring and intervention selection based on adolescents' sensitivity to anxiety as a trigger for disinhibited eating behavior. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>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.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/eat.24177
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        Text: English
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      – SubjectFull: Pessimism
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      – SubjectFull: Research funding
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      – SubjectFull: Body weight
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      – SubjectFull: Social factors
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      – SubjectFull: Anxiety
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      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Teenagers' conduct of life
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      – SubjectFull: Psychological stress
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      – SubjectFull: Food habits
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      – SubjectFull: Cognition
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      – SubjectFull: Psychosocial factors
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      – SubjectFull: Adolescence
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              Text: May2024
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