scholarly journals Clinical and Neurophysiological Correlates of Emotion and Food Craving Regulation in Patients with Anorexia Nervosa

2020 ◽  
Vol 9 (4) ◽  
pp. 960 ◽  
Author(s):  
Nuria Mallorquí-Bagué ◽  
María Lozano-Madrid ◽  
Giulia Testa ◽  
Cristina Vintró-Alcaraz ◽  
Isabel Sánchez ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Emotional Regulation ◽  
Food Addiction ◽  
Emotional Dysregulation ◽  
Self Report ◽  
Food Craving ◽  
Task Condition ◽  
Positive Potential ◽  
Difficulties In Emotion Regulation ◽  
Relevant Task

Background: Difficulties in emotion regulation and craving regulation have been linked to eating symptomatology in patients with anorexia nervosa (AN), contributing to the maintenance of their eating disorder. Methods: To investigate clinical and electrophysiological correlates of these processes, 20 patients with AN and 20 healthy controls (HC) completed a computerized task during EEG recording, where they were instructed to down-regulate negative emotions or food craving. Participants also completed self-report measures of emotional regulation and food addiction. The P300 and Late Positive Potential (LPP) ERPs were analysed. Results: LPP amplitudes were significantly smaller during down-regulation of food craving among both groups. Independent of task condition, individuals with AN showed smaller P300 amplitudes compared to HC. Among HC, the self-reported use of re-appraisal strategies positively correlated with LPP amplitudes during emotional regulation task, while suppressive strategies negatively correlated with LPP amplitudes. The AN group, in comparison to the HC group, exhibited greater food addiction, greater use of maladaptive strategies, and emotional dysregulation. Conclusions: Despite the enhanced self-reported psychopathology among AN, both groups indicated neurophysiological evidence of food craving regulation as evidenced by blunted LPP amplitudes in the relevant task condition. Further research is required to delineate the mechanisms associated with reduced overall P300 amplitudes among individuals with AN.

scholarly journals Shades of Foods: Prevalence and correlates of food addiction

2019 ◽  
Vol 37 (1) ◽  
pp. 21-34
Author(s):  
Chung-Hui Wang ◽  
Olatz Lopez-Fernandez
Keyword(s):  
Food Addiction ◽  
Obese Individual ◽  
Self Report ◽  
Outcome Variable ◽  
Food Craving ◽  
Psychological Variables ◽  
Young Females ◽  
Hypersensitive Narcissism ◽  
Frequent Consumption ◽  
High Level

Background: Growing evidence suggests that certain foods have addictive properties. Food addiction has sparked interest within the scientific community. The purpose of this study was to estimate the prevalence of food addiction to examine their differential characteristics, and the association between food addiction symptoms and physical and psychological variables, such as eating-related behaviours, body mass index (BMI), and personality traits (e.g., types of narcissism).Method: The sample consisted of 208 participants (mean age = 26.82 ± 7.89 years; BMI = 27.53 ± 12.21 kg/m2; 80.3% female; 79.3% White). Participants completed a web-based self-report survey of food addiction containing the questionnaires to measure these constructs. The main scale used as an outcome variable was the Yale Food Addiction Scale (YFAS).Results: 14.4% of participants met the YFAS diagnostic criteria for potential food addiction. Individuals who met the criteria displayed greater food craving, more frequent consumption of sugary foods, the tendency to develop eating disorders, and more negative attitudes toward and thoughts of physical appearance. Those categorised as food addicts also exhibited a lower level of self-esteem and grandiose narcissism, and a high level of hypersensitive narcissism. Food craving and body image issues were associated with the severity of food addiction.Conclusions: The findings of this investigation supported the construct of food addiction as both, addictive behaviour and behavioural addiction. Furthermore, it was suggested that this potential addiction is related to overweight and obese individual young females.

Do illness characteristics and familial risk differ between women with anorexia nervosa grouped on the basis of personality pathology?

2005 ◽  
Vol 36 (4) ◽  
pp. 529-538 ◽  
Author(s):  
JOANNA HOLLIDAY ◽  
SABINE LANDAU ◽  
DAVID COLLIER ◽  
JANET TREASURE
Keyword(s):  
Anorexia Nervosa ◽  
Clinical Symptoms ◽  
Familial Risk ◽  
Emotional Dysregulation ◽  
Self Report ◽  
Personality Pathology ◽  
Eating Disordered ◽  
Dsm Iv ◽  
Dimensional Assessment ◽  
High Inhibition

Background. In view of the potential utility of personality-based groupings in eating disorders (EDs), and the lack of studies using this approach in large samples of individuals with anorexia nervosa (AN), this study set out to examine (i) the nature of personality-based clusters of women with lifetime AN and (ii) if these clusters are associated with either clinical symptoms or aetiological variables.Method. The self-report Dimensional Assessment of Personality Pathology (DAPP) was completed by 153 women with a lifetime diagnosis of DSM-IV AN. A cluster analysis was used to identify personality-based subgroups. Clusters were then compared on clinical and aetiological variables.Results. Three personality-based clusters were identified, defined by broad, avoidant and compulsive types of personality pathology. Dimensions of low dissocial behaviour, high inhibition and high compulsivity were common to all clusters, while dimensions related to emotional dysregulation appeared more heterogeneous. Clinical symptoms were not related to personality profile with the exception of a trend towards more fasting behaviour in the broad group. The compulsive cluster with the narrowest range of extreme personality traits reported the highest familial risk of eating pathology.Conclusions. The three clusters identified in our AN sample were similar to those previously identified in broader eating disordered samples. Personality-based clusters did not correspond overall to clinical symptoms but aetiological differences supported their validity. Broader personality pathology indicative of emotional dysregulation, problems with identity and relationships, in addition to core traits, may increase vulnerability to AN in those with less familial risk.

scholarly journals Spouses’ Emotion Regulation Skills and Depressive Symptoms in the Context of Early Stage Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1024-1024
Author(s):  
Amanda Piechota ◽  
Joan Monin
Keyword(s):  
Older Adults ◽  
Emotion Regulation ◽  
Depressive Symptoms ◽  
Emotional Regulation ◽  
Early Stage ◽  
Age Groups ◽  
Married Couples ◽  
Self Report ◽  
Difficulties In Emotion Regulation ◽  
Person With Dementia

Abstract In older adults, the suffering of a relative with chronic disease or illness can severely impact their caregiver. However, older adults also tend to have better emotional regulation than younger age groups. Very little is known about these dynamics in the context of early-stage dementia in which both spouses are struggling with caregiving or experiencing dementia and need one another for support. In the present study, we hypothesized that when both partners have better emotion regulation skills, each partner’s depressive symptoms would be the lowest. We made the same hypothesis for both the person with dementia and their spouse without dementia. We used self-report baseline data from an intervention study of 70 older adult married couples (N=140) where one spouse has early-stage dementia. Spouses completed questionnaires that measured their emotional regulation habits (Difficulties in Emotion Regulation Scale) and their recent depressive symptoms (CESD). Results from the actor partner interdependence model showed that when both partners had high emotional regulation skills scores there were the lowest levels of depressive symptoms for each dyad member (B=4.31, SE=.94, t(49.9)=4.61, p<.001). Findings suggest couple-focused interventions to enhance emotion regulation skills are important for coping in the early stages of dementia.

scholarly journals Feasibility and Effectiveness of a New Short-Term Psychotherapy Concept for Adolescents With Emotional Dysregulation

2021 ◽  
Vol 11 ◽  
Author(s):  
Andrea Dixius ◽  
Eva Möhler
Keyword(s):  
Emotion Regulation ◽  
Emotional Regulation ◽  
Intervention Program ◽  
Pilot Trial ◽  
Emotional Dysregulation ◽  
Self Report ◽  
Trauma Symptoms ◽  
Group Setting ◽  
Short Term ◽  
Short Term Treatment

Background: The ‘Stress-Trauma-Symptoms-Regulation-Treatment’ (START) is an innovative manualized short-term treatment program for stabilization and stress resilience in emotionally dysregulated adolescents, based on an approach of stress and management and emotional regulation. The current pilot trial aims to assess the feasibility and effectiveness of the START intervention program for improvement of emotion regulation.Methods: Sixty-six adolescents between the age of 13–18 years admitted to a psychiatric unit for acute emotional or behavioral dysregulation took part in the START program for 5 weeks in an open group setting with two sessions per week (70 min/session). Before treatment, we assessed a history of adverse experience with the Child and Adolescent Trauma Screen (CATS) and the Child Posttraumatic Cognitions Inventory (CPTCI). Before and after treatment, the participants completed the FEEL-KJ, a self-report screening instrument of emotional regulation and coping strategies.Results: A large proportion of this sample had experienced traumatic events based on the CATS (75%) and the CPTCI (82%). The mean FEEL-KJ score significantly decreased after the intervention (d = −0.248, p = 0.037), while no difference was observed with regard to mean level of adaptive emotion regulation strategies (d = 0.202, p = 0.207). A positive effect of the intervention was observed on three components of the adaptive FEEL-KJ scale: accepting (d = 0.289, p = 0.08), forgetting (d = 0.271, p = 0.049) and dealing with anger (d = 0.309, p = 0.034).Conclusion: START demonstrates preliminary evidence for improvement in emotional dysregulation after a 5-weeks course of treatment. Therefore, this short-term intervention can possibly be regarded as a tool to improve emotional stability in children with a high load of trauma-related psychopathology. The results are promising and warrant future studies, specifically randomized controlled trials on the effectiveness of START for strengthening resilience at-risk-populations.

Comparable Modulation of the Late Positive Potential by Emotion Regulation in Younger and Older Adults

2010 ◽  
Vol 24 (3) ◽  
pp. 186-197 ◽  
Author(s):  
Sandra J. E. Langeslag ◽  
Jan W. Van Strien
Keyword(s):  
Emotion Regulation ◽  
Facial Expressions ◽  
Age Differences ◽  
Late Positive Potential ◽  
Self Report ◽  
Apparent Discrepancy ◽  
Positive Potential ◽  
Psychophysiological Responses ◽  
Psychophysiological Measures ◽  
Emotional Pictures

It has been suggested that emotion regulation improves with aging. Here, we investigated age differences in emotion regulation by studying modulation of the late positive potential (LPP) by emotion regulation instructions. The electroencephalogram of younger (18–26 years) and older (60–77 years) adults was recorded while they viewed neutral, unpleasant, and pleasant pictures and while they were instructed to increase or decrease the feelings that the emotional pictures elicited. The LPP was enhanced when participants were instructed to increase their emotions. No age differences were observed in this emotion regulation effect, suggesting that emotion regulation abilities are unaffected by aging. This contradicts studies that measured emotion regulation by self-report, yet accords with studies that measured emotion regulation by means of facial expressions or psychophysiological responses. More research is needed to resolve the apparent discrepancy between subjective self-report and objective psychophysiological measures.

scholarly journals Risk Factors for Oral Health in Anorexia Nervosa: Comparison of a Self-Report Questionnaire and a Face-to-Face Interview

2021 ◽  
Vol 18 (8) ◽  
pp. 4212
Author(s):  
Hélène Rangé ◽  
Alice Pallier ◽  
Aminata Ali ◽  
Caroline Huas ◽  
Pierre Colon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anorexia Nervosa ◽  
Oral Health ◽  
Statistical Tests ◽  
The Self ◽  
Self Report ◽  
Short Version ◽  
Oral Diseases ◽  
Face To Face ◽  
Local Risk

Behavioral, nutritional, and local risk factors for oral health are frequent in people with anorexia nervosa. However no self-report questionnaire is available for screening in clinical practice or for research purposes. The objective of this study was to design a questionnaire to identify risk factors and symptoms of oral diseases and to test its reliability as a self-report form among people with anorexia nervosa. A 26-item questionnaire was designed based on a sound literature review performed by a group of dentists, psychiatrists, and epidemiologists specialized in the field of eating disorders. Sixty-nine anorexia nervosa inpatients (mean age 18.72 ± 5.1) were included from four specialized units. The questionnaire was first self-reported by the patients, then the same questionnaire was administrated by a dentist during a structured face-to-face interview as the gold standard. The concordance between the two forms was evaluated globally and item per item using Cohen’s kappa statistical tests. The overall concordance between the self-report questionnaire and the face-to-face structured interview was 55%. Of the 26 items, 19 showed significant concordance. Items relating to water intake, extracted teeth, gingival status, and oral hygiene had the best concordance (all kappa coefficients > 0.4). A questionnaire that identifies risk factors and symptoms of oral diseases in anorexia nervosa was developed and tested. The 26-item form of the questionnaire (long version) is moderately reliable as a self-reported form. A short version of the questionnaire, including the 10 most reliable items, is recommended for oral risk assessment in patients with anorexia nervosa. The clinical value of the self-administered questionnaire remains to be evaluated.

scholarly journals Overcoming limitations of self-report: an assessment of fear of weight gain in anorexia nervosa and healthy controls using implicit association tests

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Tiana Borgers ◽  
Nathalie Krüger ◽  
Silja Vocks ◽  
Jennifer J. Thomas ◽  
Franziska Plessow ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Weight Gain ◽  
Normal Weight ◽  
Self Report ◽  
Healthy Controls ◽  
Drive For Thinness ◽  
Implicit Association ◽  
Association Tests ◽  
Implicit Assessment ◽  
Fear Of Weight Gain

Abstract Background Fear of weight gain is a characteristic feature of anorexia nervosa (AN), and reducing this fear is often a main target of treatment. However, research shows that 20% of individuals with AN do not report fear of weight gain. Studies are needed that evaluate the centrality of fear of weight gain for AN with a method less susceptible to deception than self-report. Methods We approximated implicit fear of weight gain by measuring implicit drive for thinness using implicit association tests (IATs). We asked 64 participants (35 AN, 29 healthy controls [HCs]) to categorize statements as pro-dieting vs. non-dieting and true vs. false in a questionnaire-based IAT, and pictures of underweight vs. normal-weight models and positive vs. negative words in a picture-based IAT using two response keys. We tested for associations between implicit drive for thinness and explicitly reported psychopathology within AN as well as group differences between AN and HC groups. Results Correlation analyses within the AN group showed that higher implicit drive for thinness was associated with more pronounced eating disorder-specific psychopathology. Furthermore, the AN group showed a stronger implicit drive for thinness than HCs in both IATs. Conclusion The results highlight the relevance of considering fear of weight gain as a continuous construct. Our implicit assessment captures various degrees of fear of weight gain in AN, which might allow for more individually tailored interventions in the future.

Childhood trauma moderates morphometric associations between orbitofrontal cortex and amygdala: implications for pathological personality traits

2020 ◽  
pp. 1-10
Author(s):  
Nadia Bounoua ◽  
Rickie Miglin ◽  
Jeffrey M. Spielberg ◽  
Curtis L. Johnson ◽  
Naomi Sadeh
Keyword(s):  
Personality Traits ◽  
Childhood Trauma ◽  
Orbitofrontal Cortex ◽  
Functional Neuroimaging ◽  
Trauma Exposure ◽  
Diagnostic Interview ◽  
Emotional Dysregulation ◽  
Self Report ◽  
Traumatic Experiences ◽  
Pathological Personality Traits

Abstract Background Research has demonstrated that chronic stress exposure early in development can lead to detrimental alterations in the orbitofrontal cortex (OFC)–amygdala circuit. However, the majority of this research uses functional neuroimaging methods, and thus the extent to which childhood trauma corresponds to morphometric alterations in this limbic-cortical network has not yet been investigated. This study had two primary objectives: (i) to test whether anatomical associations between OFC–amygdala differed between adults as a function of exposure to chronic childhood assaultive trauma and (ii) to test how these environment-by-neurobiological effects relate to pathological personality traits. Methods Participants were 137 ethnically diverse adults (48.1% female) recruited from the community who completed a clinical diagnostic interview, a self-report measure of pathological personality traits, and anatomical MRI scans. Results Findings revealed that childhood trauma moderated bilateral OFC–amygdala volumetric associations. Specifically, adults with childhood trauma exposure showed a positive association between medial OFC volume and amygdalar volume, whereas adults with no childhood exposure showed the negative OFC–amygdala structural association observed in prior research with healthy samples. Examination of the translational relevance of trauma-related alterations in OFC–amygdala volumetric associations for disordered personality traits revealed that trauma exposure moderated the association of OFC volume with antagonistic and disinhibited phenotypes, traits characteristic of Cluster B personality disorders. Conclusions The OFC–amygdala circuit is a potential anatomical pathway through which early traumatic experiences perpetuate emotional dysregulation into adulthood and confer risk for personality pathology. Results provide novel evidence of divergent neuroanatomical pathways to similar personality phenotypes depending on early trauma exposure.

scholarly journals The Clinical Utility of Food Addiction: Characteristics and Psychosocial Impairments in a Treatment-Seeking Sample

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3388
Author(s):  
Edgar Oliveira ◽  
Hyoun S. Kim ◽  
Emilie Lacroix ◽  
Mária de Fátima Vasques ◽  
Cristiane Ruiz Durante ◽  
...  
Keyword(s):  
Binge Eating ◽  
Clinical Utility ◽  
Food Addiction ◽  
Social Impairment ◽  
Self Report ◽  
Depression And Anxiety ◽  
Comorbid Conditions ◽  
Food Cravings ◽  
Clinical Interviews ◽  
Psychiatric Conditions

Little is known about the characteristics of individuals seeking treatment for food addiction (FA), and the clinical utility of FA has yet to be established. To address these gaps, we examined (i) the demographic, eating pathology, and psychiatric conditions associated with FA and (ii) whether FA is associated with psychosocial impairments when accounting for eating-related and other psychopathology. Forty-six patients seeking treatment for FA completed self-report questionnaires and semi-structured clinical interviews. The majority of the sample were women and self-identified as White, with a mean age of 43 years. Most participants (83.3%) presented with a comorbid psychiatric condition, most commonly anxiety and mood disorders, with a mean of 2.31 comorbid conditions. FA was associated with binge eating severity and anxiety symptoms, as well as psychological, physical, and social impairment. In regression analyses controlling for binge eating severity, food cravings, depression, and anxiety, FA remained a significant predictor only of social impairment. Taken together, the results suggest that individuals seeking treatment for FA are likely to present with significant comorbid conditions, in particular anxiety disorders. The results of the present research provide evidence for the clinical utility of FA, particularly in explaining social impairment.

scholarly journals Profiles of Emotion Regulation and Post-Traumatic Stress Severity among Female Victims of Intimate Partner Violence

2021 ◽  
Vol 18 (13) ◽  
pp. 6865
Author(s):  
Marina Muñoz-Rivas ◽  
Ana Bellot ◽  
Ignacio Montorio ◽  
Rosa Ronzón-Tirado ◽  
Natalia Redondo
Keyword(s):  
Intimate Partner Violence ◽  
Traumatic Stress ◽  
Partner Violence ◽  
Emotional Regulation ◽  
Intimate Partner ◽  
Emotional Dysregulation ◽  
Gender Violence ◽  
Post Traumatic Stress ◽  
Critical Pathway ◽  
Post Traumatic

Emotional dysregulation is a construct that has drawn substantial attention as a transdiagnostic contributing factor to the loss of health. Intimate partner violence (IPV) is a term used to describe physical, psychological, or sexual assault of a spouse or sexual partner. The aim of the study was to determine the variability of emotional dysregulation among women with different types of IPV revictimization and post-traumatic stress. The cross-sectional survey included 120 women attended by the Integrated Monitoring System of Gender Violence of Madrid, Spain, due to a gender violence complaint. The presence of post-traumatic stress disorder (DSM 5 criteria), emotional dysregulation (Emotional Processing Scale (EPS)), childhood trauma, and type of revictimization were evaluated. Cluster analysis found three profiles of emotional regulation: Emotionally Regulated, Avoidance/Non-Impoverished, and Emotional Overwhelm. The results showed that the Emotional Overwhelm group was characterized by a general dysregulation of emotional experiences and a greater intensity of post-traumatic stress symptoms. In addition, women who have suffered several episodes of IPV by different partners showed a differential pattern of emotional regulation than the rest of the victims that entailed greater psychopathology. Findings confirm that emotional dysregulation is a critical pathway to the decrease of health among IPV victims.

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