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Momentary associations between fear of weight gain and dietary restriction among individuals with binge-spectrum eating disorders
Journal article   Open access   Peer reviewed

Momentary associations between fear of weight gain and dietary restriction among individuals with binge-spectrum eating disorders

Stephanie M. Manasse, Elizabeth W. Lampe, Paakhi Srivastava, Adam Payne-Reichert, Tyler B. Mason and Adrienne S. Juarascio
The International journal of eating disorders, v 55(4), pp 541-552
01 Apr 2022
PMID: 35088433
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377790View
Accepted (AM) Open

Abstract

Life Sciences & Biomedicine Nutrition & Dietetics Psychiatry Psychology Psychology, Clinical Science & Technology Social Sciences
Objective Fear of weight gain (FOWG) is increasingly implicated in the maintenance of binge-spectrum eating disorders (EDs; e.g., bulimia nervosa [BN], binge-eating disorder [BED]) through the pathway of increased dietary restriction. However, particularly in binge-spectrum EDs, research is nascent and based on retrospective self-report. To improve treatment outcomes, it is critical to better understand the momentary relations between FOWG and dietary restriction. Method Sixty-seven adults with binge spectrum EDs completed a 7-14-day ecological momentary assessment protocol that included items regarding FOWG, ED behaviors, and types of dietary restriction (e.g., attempted restraint vs. actual restriction) several times per day. Multilevel models were used to evaluate reciprocal associations between FOWG and dietary restriction, and to evaluate the indirect of effects of dietary restriction on the relation between FOWG and binge eating. Results While main effects were not statistically significant, ED presentation significantly moderated the association between increases in FOWG at time1 and both attempted and actual avoidance of enjoyable foods at time2 such that those with BN-spectrum EDs were more likely to avoid enjoyable foods following increased FOWG compared to those with BED-spectrum EDs. Engagement in restriction at time1 was not associated with decreased FOWG at time2. Discussion Prospective associations between FOWG and restriction suggest that individuals with BN may be more likely to restrict their eating following increased FOWG. These findings suggest FOWG may be an important target for future treatments.

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#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Nutrition & Dietetics
Psychiatry
Psychology
Psychology, Clinical
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