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Journal article
Preliminary data that psychological treatment and baseline anxiety are associated with a decrease in postprandial fullness and early satiation for individuals with bulimia nervosa and related other specified feeding or eating disorder
The International journal of eating disorders
25 Sep 2023
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Abstract Objective Gastrointestinal symptoms, particularly postprandial fullness, are frequently reported in eating disorders. Limited data exist evaluating how these symptoms change in response to outpatient psychological treatment. The current study sought to describe the course of postprandial fullness and early satiation across psychological treatment for adults with bulimia nervosa and related other specified feeding or eating disorders and to test if anxiety moderates treatment response. Methods Secondary data analysis was conducted on questionnaire data provided by 30 individuals (80% white, M (SD) age = 31.43(13.44) years; 90% female) throughout treatment and six‐month follow‐up in a pilot trial comparing mindfulness and acceptance‐based treatment with cognitive‐behavioral therapy for bulimia nervosa. Participants completed items from the Rome IV Diagnostic Questionnaire for Adult Functional Gastrointestinal Disorders and the State Trait Anxiety Inventory. Results Postprandial fullness and early satiation both significantly decreased over time (ds = 1.23–1.54; p 's < .001). Baseline trait anxiety moderated this outcome, such that greater decreases were observed for those with higher baseline anxiety ( p = .02). Discussion Results extend prior work in inpatient samples by providing preliminary data that postprandial fullness and early satiation decrease with outpatient psychological treatment for bulimia nervosa. Baseline anxiety moderated this effect for postprandial fullness. Future work should replicate findings in a larger sample and test anxiety as a mechanism underlying postprandial fullness in eating disorders. Public Significance The current study found that common gastrointestinal symptoms (postprandial fullness and early satiation) decrease over the course of outpatient psychotherapy for adults with full and subthreshold bulimia nervosa. Postprandial fullness decreased more across time for those high in anxiety.
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Details
- Title
- Preliminary data that psychological treatment and baseline anxiety are associated with a decrease in postprandial fullness and early satiation for individuals with bulimia nervosa and related other specified feeding or eating disorder
- Creators
- K. Jean Forney - Ohio UniversityHelen Burton Murray - Department of Psychological and Brain Sciences Drexel University Philadelphia Pennsylvania USA, Center for Neurointestinal Health, Division of Gastroenterology Massachusetts General Hospital Boston Massachusetts USA, Harvard Medical School Boston Massachusetts USALina Himawan - Ohio UniversityAdrienne S. Juarascio - Drexel University
- Publication Details
- The International journal of eating disorders
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:001072416600001
- Scopus ID
- 2-s2.0-85173015206
- Other Identifier
- 991021229315704721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics
- Psychiatry
- Psychology
- Psychology, Clinical