Neuropsychiatric Research Institute, Fargo, ND, United States; University of North Dakota School of Medicine and Health Sciences, Department of Psychiatry and Behavioral Science, Fargo, ND, United States.
Department of Preventative Medicine, University of Southern California, United States.
Appetite. 2018 Jan 1;120:327-334. doi: 10.1016/j.appet.2017.09.020. Epub 2017 Sep 21.
Restraint and binge eating are cognitive and behavioral processes that are particularly important in the context of obesity. While extensive research has focused on negative affect (NA) in relation to binge eating, it is unclear whether affective valence (i.e., positive versus negative) and stability (i.e., state versus trait) differentially predict binge eating and restraint among individuals with obesity. Distinguishing between valence and stability helps elucidate under which affective contexts, and among which individuals, restraint and binge eating are likely to occur. Therefore, the present study examined relationships between trait and state levels of NA and positive affect (PA), binge eating, and restraint intention among 50 adults with obesity (BMI ≥ 30). Participants completed baseline assessments followed by a two-week ecological momentary assessment (EMA) protocol. Structural equation modeling assessed a trait model of person-level measures of affect in relation to overall levels of binge eating and restraint intention, while general estimating equations (GEEs) assessed state models examining relationships between momentary affect and subsequent binge eating and restraint. The trait model indicated higher overall NA was related to more binge eating episodes, but was unrelated to overall restraint intention. Higher overall PA was related to higher overall restraint intention, but was unrelated to binge eating. State models indicated momentary NA was associated with a greater likelihood of subsequent binge eating and lower restraint intention. Momentary PA was unrelated to subsequent binge eating or restraint intention. Together, findings demonstrate important distinctions between the valence and stability of affect in relationship to binge eating and restraint intention among individuals with obesity. While NA is a more salient predictor of binge eating than PA, both overall PA and momentary NA are predictors of restraint intention.
克制和暴食是认知和行为过程,在肥胖背景下尤为重要。虽然大量研究集中在与暴食相关的负性情绪(NA)上,但尚不清楚情感效价(即正性与负性)和稳定性(即状态与特质)是否会对肥胖个体的暴食和克制行为产生不同的预测作用。区分效价和稳定性有助于阐明在哪些情感背景下,以及在哪些个体中,克制和暴食更有可能发生。因此,本研究考察了 50 名肥胖成年人(BMI≥30)的特质和状态水平的 NA 和正性情绪(PA)、暴食和克制意图之间的关系。参与者完成了基线评估,随后进行了为期两周的生态瞬时评估(EMA)方案。结构方程模型评估了个体水平的特质模型,以评估整体暴食水平和克制意图与整体水平的关系,而广义估计方程(GEE)则评估了状态模型,以考察瞬时情绪与随后暴食和克制的关系。特质模型表明,较高的总体 NA 与更多的暴食发作有关,但与总体克制意图无关。较高的总体 PA 与较高的总体克制意图有关,但与暴食无关。状态模型表明,瞬时 NA 与随后暴食的可能性更大和克制意图更低有关。瞬时 PA 与随后的暴食或克制意图无关。总之,研究结果表明,肥胖个体的暴食和克制意图与情绪的效价和稳定性之间存在重要区别。虽然 NA 是暴食的一个更显著的预测因子,但总体 PA 和瞬时 NA 都是克制意图的预测因子。