An examination of state and trait urgency in individuals with binge-eating disorder.

Autor: Wonderlich JA; Sanford Research, Center for Biobehavioral Research, Fargo, North Dakota, USA., Forester G; Sanford Research, Center for Biobehavioral Research, Fargo, North Dakota, USA., Crosby RD; Sanford Research, Center for Biobehavioral Research, Fargo, North Dakota, USA.; Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota, USA., Engel SG; Sanford Research, Center for Biobehavioral Research, Fargo, North Dakota, USA., Crow SJ; Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, Minnesota, USA.; Accanto Health, St. Paul, Minnesota, USA., Peterson CB; Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, Minnesota, USA., Wonderlich SA; Sanford Research, Center for Biobehavioral Research, Fargo, North Dakota, USA.
Jazyk: angličtina
Zdroj: European eating disorders review : the journal of the Eating Disorders Association [Eur Eat Disord Rev] 2024 Sep; Vol. 32 (5), pp. 869-879. Date of Electronic Publication: 2024 Apr 11.
DOI: 10.1002/erv.3096
Abstrakt: Objective: Negative urgency (i.e., acting rashly when experiencing negative affect; NU), is a theorised maintenance factor in binge-eating type eating disorders. This study examined the association between trait NU and eating disorder severity, momentary changes in state NU surrounding episodes of binge eating, and the momentary mechanistic link between affect, rash action, and binge-eating risk.
Methods: Participants were 112 individuals with binge-eating disorder (BED). Baseline measures included the UPPS-P Impulsive Behaviour Scale to assess trait NU and the Eating Disorders Examination to assess binge-eating frequency and global eating disorder severity. Ecological momentary assessment captured real-time data on binge eating, negative affect, and state NU.
Results: Multiple regression analysis revealed a strong association between trait NU and eating disorder severity. Generalised estimating equations showed that state NU increased before and decreased after binge-eating episodes, and that this pattern was not moderated by trait-level NU. Finally, a multilevel structural equation model indicated that increases in rash action mediated the momentary relationship between states of high negative affect and episodes of binge eating.
Conclusion: These findings underscore the importance of both trait and state NU in binge-eating type eating disorders, and suggest NU as a potential key target for intervention.
(© 2024 Eating Disorders Association and John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: