Momentary Associations Across Specific Affective States and Dysregulated Eating Experiences Among Children and Adolescents With Loss of Control Eating Symptoms.

Autor: Christian C; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA., Bell V; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA., Thomas JG; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Haedt-Matt AA; Department of Psychology, Illinois Institute of Technology, Chicago, Illinois, USA., Engel SG; Sanford Research, Fargo, South Dakota, USA., Hart CN; Department of Social and Behavioral Sciences and Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania, USA., Saletin JM; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.; Bradley Hospital, Providence, Rhode Island, USA., Goldstein SP; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Cusack CE; Department of Psychological and Brain Sciences, University of Louisville, Louisville, Kentucky, USA., Goldschmidt AB; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: The International journal of eating disorders [Int J Eat Disord] 2024 Dec 17. Date of Electronic Publication: 2024 Dec 17.
DOI: 10.1002/eat.24356
Abstrakt: Objective: Dysregulated eating is common among youth and is associated with trait-level negative affect and emotion regulation difficulties. Despite the transient nature of affect, momentary associations among affect and eating behavior are unclear, which limits development of more impactful treatment tools, such as "just-in-time" intervention approaches (JITAI). The current study (N = 62) drew from two ecological momentary assessment (EMA) studies involving children and adolescents who endorsed loss of control (LOC) eating symptoms during a two-week assessment period.
Method: Intensive time series network analysis tested concurrent and prospective relationships across six specific affective states (i.e., upset, guilty, scared, tired, excited, attentive) and four eating-related experiences (e.g., LOC, overeating, hunger, craving) in real time. Additionally, we repeated these models within demographic subgroups of the sample based on age, race, and sex.
Results: In the full-sample models, contemporaneously assessed guilt was associated with craving and LOC eating, and tiredness was associated with LOC eating. In the prospective analysis, tiredness was negatively predicted by LOC eating and positively predicted by overeating at the previous timepoint, and attentiveness positively predicted craving. Differences in affect-eating relationships were identified across teens and preteens as well as male and female participants.
Discussion: These results suggest that specific affective states are associated with dysregulated eating-related experiences in real time among youth, and associations may differ depending on demographic characteristics. Findings may be used to inform the development and tailoring of momentary interventions.
(© 2024 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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