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

被引：1

作者：

Gutierrez-Colina, Ana M. ^{[1
,2
,3
,10
,11
]}

Aichele, Stephen ^{[1
,4
]}

Lavender, Jason M. ^{[5
,6
,7
]}

Sanchez, Natalia ^{[1
]}

Thorstad, Isabel ^{[5
,6
]}

Gulley, Lauren D. ^{[1
,2
,3
]}

Emerick, Jill E. ^{[8
]}

Schrag, Ruby ^{[5
,6
]}

Thomas, Victoria ^{[5
,6
]}

Spinner, Holly ^{[5
,6
]}

Arnold, Thomas ^{[5
,6
]}

Heroy, Andrew ^{[5
,6
]}

Haigney, Mark C. ^{[5
,7
]}

Tanofsky-Kraff, Marian ^{[5
,9
]}

Shomaker, Lauren B. ^{[1
,2
,3
,4
]}

机构：

[1] Colorado State Univ, Dept Human Dev & Family Studies, Ft Collins, CO 80523 USA

[2] Univ Colorado Anschutz, Dept Pediat, Sect Endocrinol, Aurora, CO USA

[3] Childrens Hosp Colorado, Aurora, CO USA

[4] Colorado Sch Publ Hlth, Aurora, CO USA

[5] Uniformed Serv Univ Hlth Sci, Dept Med, Mil Cardiovasc Outcomes Res MiCOR Program, Bethesda, MD USA

[6] Metis Fdn, San Antonio, TX USA

[7] Uniformed Serv Univ Hlth Sci, Dept Med, Bethesda, MD USA

[8] Uniformed Serv Univ Hlth Sci, Dept Pediat, Bethesda, MD USA

[9] Uniformed Serv Univ Hlth Sci, Dept Med & Clin Psychol, Bethesda, MD USA

[10] Univ Colorado Anschutz, Dept Pediat, Sect Endocrinol, Aurora, CO 80045 USA

[11] Childrens Hosp Colorado, Aurora, CO 80045 USA

来源：

INTERNATIONAL JOURNAL OF EATING DISORDERS | 2024年 / 57卷 / 05期

关键词：

adolescent; anxiety; cognitive-behavioral; disinhibited eating; ecological momentary assessment; high body weight; interpersonal; RANDOMIZED CONTROLLED-TRIAL; METABOLIC SYNDROME; WEIGHT-GAIN; FOLLOW-UP; HIGH-RISK; ADOLESCENTS; VALIDATION; OVERWEIGHT; DISORDERS; CHILDREN;

D O I：

10.1002/eat.24177

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

ObjectiveAmong 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.MethodA 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.ResultsBetween-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.DiscussionFindings 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 SignificanceFindings 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.

引用

页码：1213 / 1223

页数：11

共 66 条

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