Diagnostic, clinical, and personality correlates of food anxiety during a food exposure in patients diagnosed with an eating disorder.
Anorexia Nervosa
/ psychology
Anxiety
/ psychology
Bulimia Nervosa
/ psychology
Day Care, Medical
Depressive Disorder, Major
/ psychology
Feeding and Eating Disorders
/ psychology
Food
Humans
Implosive Therapy
Meals
/ psychology
Obsessive-Compulsive Disorder
/ psychology
Perfectionism
Personality
Stress Disorders, Post-Traumatic
/ psychology
Anorexia nervosa
Exposure therapy
Fear of food
Perfectionism
Social appearance anxiety
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
07
12
2018
accepted:
01
03
2019
pubmed:
9
3
2019
medline:
14
4
2020
entrez:
9
3
2019
Statut:
ppublish
Résumé
Eating disorders are characterized by high levels of anxiety, especially while eating. However, little is known about anxiety experienced during meals and specifically what other variables may impact such anxiety. We sought to further quantify and understand the relationship between food anxiety, eating disorders, and related correlates (e.g., comorbid diagnoses, personality). In the current study [N = 42 participants diagnosed with an eating disorder (n = 36 participants with anorexia nervosa)], we quantified anxiety before, during, and after a meal using data from a food exposure session in a partial hospital eating disorder center. We examined diagnostic, personality, and clinical factors as correlates of food anxiety. Participants were more likely to experience higher food anxiety if they had a current diagnosis of major depression, obsessive-compulsive disorder, or post-traumatic stress disorder (PTSD). Concern over mistakes was the strongest and most consistent correlate of food anxiety regardless of time during the meal that anxiety was assessed. Other significant correlates were fear of positive evaluation, social appearance anxiety, BMI, and trust. These findings show how diagnoses, perfectionism (concern over mistakes), and other correlates relate to anxiety during meals. Food exposure interventions may benefit from personalizations that address these factors. IV Evidence from a randomized control trial, but from the first session before effects of the design would be present.
Sections du résumé
BACKGROUND
BACKGROUND
Eating disorders are characterized by high levels of anxiety, especially while eating. However, little is known about anxiety experienced during meals and specifically what other variables may impact such anxiety.
OBJECTIVE
OBJECTIVE
We sought to further quantify and understand the relationship between food anxiety, eating disorders, and related correlates (e.g., comorbid diagnoses, personality).
METHODS
METHODS
In the current study [N = 42 participants diagnosed with an eating disorder (n = 36 participants with anorexia nervosa)], we quantified anxiety before, during, and after a meal using data from a food exposure session in a partial hospital eating disorder center. We examined diagnostic, personality, and clinical factors as correlates of food anxiety.
RESULTS
RESULTS
Participants were more likely to experience higher food anxiety if they had a current diagnosis of major depression, obsessive-compulsive disorder, or post-traumatic stress disorder (PTSD). Concern over mistakes was the strongest and most consistent correlate of food anxiety regardless of time during the meal that anxiety was assessed. Other significant correlates were fear of positive evaluation, social appearance anxiety, BMI, and trust.
CONCLUSIONS
CONCLUSIONS
These findings show how diagnoses, perfectionism (concern over mistakes), and other correlates relate to anxiety during meals. Food exposure interventions may benefit from personalizations that address these factors.
LEVEL OF EVIDENCE
METHODS
IV Evidence from a randomized control trial, but from the first session before effects of the design would be present.
Identifiants
pubmed: 30847689
doi: 10.1007/s40519-019-00669-w
pii: 10.1007/s40519-019-00669-w
pmc: PMC6732034
mid: NIHMS1523507
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1079-1088Subventions
Organisme : NIMH NIH HHS
ID : F31 MH096433
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK056341
Pays : United States
Organisme : NIMH NIH HHS
ID : F31-MH096433
Pays : United States
Références
Appetite. 2015 Apr;87:192-8
pubmed: 25555537
Appetite. 2015 Feb;85:76-83
pubmed: 25447021
Clin Psychol Rev. 2007 Apr;27(3):384-405
pubmed: 17267086
J Consult Clin Psychol. 1978 Oct;46(5):1023-35
pubmed: 701541
Behav Ther. 2007 Jun;38(2):192-206
pubmed: 17499085
Eat Behav. 2015 Dec;19:28-32
pubmed: 26164671
JAMA Psychiatry. 2016 Sep 1;73(9):891-2
pubmed: 27463780
Psychol Bull. 1990 Mar;107(2):238-46
pubmed: 2320703
J Consult Clin Psychol. 1969 Aug;33(4):448-57
pubmed: 5810590
Int J Eat Disord. 2014 Dec;47(8):888-91
pubmed: 24590507
J Anxiety Disord. 2008;22(1):44-55
pubmed: 17884328
Pain. 2003 Jul;104(1-2):187-94
pubmed: 12855328
Am J Psychiatry. 2004 Dec;161(12):2215-21
pubmed: 15569892
Clin Psychol Sci. 2015 Sep;3(5):744-757
pubmed: 26504674
Int J Eat Disord. 2007 Nov;40 Suppl:S46-51
pubmed: 17610248
Int J Eat Disord. 2002 Jul;32(1):103-6
pubmed: 12183936
J Anxiety Disord. 2009 Dec;23(8):1177-83
pubmed: 19700259
Clin Psychol Rev. 2008 Mar;28(3):366-86
pubmed: 17707562
Eat Behav. 2009 Aug;10(3):192-5
pubmed: 19665103
J Psychiatr Pract. 2007 Jul;13(4):238-45
pubmed: 17667736
Int J Eat Disord. 2014 Mar;47(2):174-80
pubmed: 24488838
Int J Eat Disord. 2009 Mar;42(2):97-103
pubmed: 18951455
Behav Res Ther. 2016 Dec;87:1-10
pubmed: 27580026
Appetite. 2010 Oct;55(2):214-8
pubmed: 20570701
Int J Eat Disord. 2011 Mar;44(2):134-41
pubmed: 20127936
Eat Weight Disord. 2019 Aug;24(4):757-765
pubmed: 28752497
Assessment. 2008 Mar;15(1):48-59
pubmed: 18258731
Am J Psychiatry. 2003 Feb;160(2):366-8
pubmed: 12562586
Assessment. 2011 Sep;18(3):350-6
pubmed: 21467096
Int J Eat Disord. 2012 May;45(4):615-21
pubmed: 21541979
J Am Acad Child Adolesc Psychiatry. 2019 Feb;58(2):191-199
pubmed: 30738546
Behav Res Ther. 2006 Jun;44(6):897-906
pubmed: 16257388
J Clin Psychiatry. 2015 Jun;76(6):e787-93
pubmed: 26132687
Behav Res Ther. 1998 Apr;36(4):455-70
pubmed: 9670605
Eur Eat Disord Rev. 2019 Mar;27(2):173-181
pubmed: 30198606
Am J Psychiatry. 2000 Nov;157(11):1799-805
pubmed: 11058477
Int J Eat Disord. 2015 Apr;48(3):271-83
pubmed: 25087651
Eat Behav. 2012 Jan;13(1):27-35
pubmed: 22177392
Behav Res Ther. 2008 Jun;46(6):757-65
pubmed: 18394588
Int J Eat Disord. 2019 Apr;52(4):462-465
pubmed: 30628116
Appetite. 2013 Aug;67:125-33
pubmed: 23583741
Neurosci Biobehav Rev. 2013 Feb;37(2):193-208
pubmed: 23201859
Biol Psychiatry. 2015 Apr 1;77(7):624-32
pubmed: 25433902
Psychol Assess. 2006 Jun;18(2):192-203
pubmed: 16768595
Eur Eat Disord Rev. 2017 Nov;25(6):579-585
pubmed: 29057604