Avoidance coping during mealtimes predicts higher eating disorder symptoms.
anxiety
avoidance
eating disorders
Journal
The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
07
10
2019
revised:
15
02
2020
accepted:
17
02
2020
pubmed:
1
3
2020
medline:
11
11
2020
entrez:
1
3
2020
Statut:
ppublish
Résumé
Eating disorders (EDs) are characterized by significant anxiety during mealtime that contributes to food avoidance and weight loss. Individuals with EDs commonly use avoidance coping (e.g., distraction) to tolerate meals and comply with meal plans. Although this strategy may be effective short term, a large body of anxiety literature suggests that avoidance can lead to worsening of psychological symptoms long term. The current study (N = 66 individuals diagnosed with ED) used ecological momentary assessment (EMA) to examine the short-term and long-term associations of avoidance coping on ED symptoms. Distraction during meals predicted a reduction in anxiety in the short term, and both distraction and avoidance of emotions predicted increases in excessive exercise in the short term. Distraction and avoidance of emotions predicted increases in bulimic symptoms 1 month after completion of EMA. These results are consistent with prior literature on avoidance and suggest that avoidance coping during meals may contribute to the increase of ED behaviors in the long term. Coping strategies that encourage approach and tolerance of difficult thoughts and emotions (e.g., acceptance-based strategies) rather that avoidance coping may promote longer-term symptom reduction.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
625-630Informations de copyright
© 2020 Wiley Periodicals, Inc.
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