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进食障碍中情绪调节性进食预期的生态瞬时评估:聚合和预测效度。

Ecological momentary assessment of mood regulation eating expectancies in eating disorders: Convergent and predictive validity.

机构信息

Department of Population and Public Health Sciences, University of Southern California, Los Angeles, California, USA.

Sanford Center for Biobehavioral Research, Sanford Research, Fargo, North Dakota, USA.

出版信息

Eur Eat Disord Rev. 2023 Sep;31(5):717-723. doi: 10.1002/erv.2998. Epub 2023 Jun 19.


DOI:10.1002/erv.2998
PMID:37337314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10465104/
Abstract

OBJECTIVE: Eating expectancies (EE) are the anticipation of various benefits or detriments from eating, with mood regulation being a salient type of EE associated with eating disorders. This study examined the convergent and predictive validity of ecological momentary assessment (EMA) mood regulation EE items, including mood improvement and mood worsening EE. METHODS: Thirty women with binge-eating pathology completed a 14-day EMA protocol, which included measures of mood regulation EE, affect, appetite, appearance- and body-related factors and disordered-eating behaviours. RESULTS: Greater within-subjects hunger and lower within-subjects positive affect and fullness were related to elevated mood improvement EE. Higher within-subjects appearance concerns, fullness, body social comparisons and thinness pressure were associated with higher mood worsening EE. Greater within-subjects mood worsening EE predicted greater likelihood of vomiting at the subsequent time point, but there were no within-subjects associations between mood improvement EE and behaviours. Yet, greater between-subjects mood worsening EE were associated with more restraint/restriction and binge eating, and greater between-subjects mood improvement EE were associated with more binge eating. CONCLUSIONS: Findings support the convergent validity of EMA mood regulation EE items. There was limited predictive validity evidence, suggesting complexities in how mood regulation EE predict behaviour in daily life.

摘要

目的:饮食预期(EE)是对进食带来的各种益处或危害的预期,情绪调节是与饮食障碍相关的一种突出的 EE 类型。本研究检验了生态瞬时评估(EMA)情绪调节 EE 项目的聚合效度和预测效度,包括情绪改善和情绪恶化 EE。

方法:30 名有暴食症病史的女性完成了为期 14 天的 EMA 方案,其中包括情绪调节 EE、情绪、食欲、外貌和身体相关因素以及饮食失调行为的测量。

结果:个体内更高的饥饿感和更低的个体内积极情绪和饱腹感与更高的情绪改善 EE 相关。更高的个体内外貌关注、饱腹感、身体社会比较和瘦身压力与更高的情绪恶化 EE 相关。更高的个体内情绪恶化 EE 预测下一个时间点呕吐的可能性更大,但个体内情绪改善 EE 与行为之间没有关联。然而,更大的个体间情绪恶化 EE 与更多的克制/限制和暴食行为有关,而更大的个体间情绪改善 EE 与更多的暴食行为有关。

结论:研究结果支持 EMA 情绪调节 EE 项目的聚合效度。预测效度的证据有限,表明情绪调节 EE 如何预测日常生活中的行为存在复杂性。

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Ecological momentary assessment of mood regulation eating expectancies in eating disorders: Convergent and predictive validity.

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引用本文的文献

[1]
The ecological validity of the Yale Food Addiction Scale 2.0 and momentary food addiction symptoms.

Psychol Addict Behav. 2024-8

[2]
Momentary mechanisms of binge-eating symptoms using ecological momentary assessment: The moderating role of food addiction.

Eur Eat Disord Rev. 2024-11

本文引用的文献

[1]
A Plea for Diversity in Eating Disorders Research.

Front Psychiatry. 2022-2-18

[2]
Hunger increases negative and decreases positive emotions in women with a healthy weight.

Appetite. 2022-1-1

[3]
Using the acquired preparedness model to explore the role of eating expectancies and impulsivity in binge eating.

Eat Disord. 2022

[4]
Validation of a Brief Measure of Aggression for Ecological Momentary Assessment Research: The Aggression-ES-A.

Assessment. 2022-3

[5]
Exploring the association of social comparison with depression and anxiety: A systematic review and meta-analysis.

Clin Psychol Psychother. 2020-9

[6]
The momentary interplay of affect, attention bias, and expectancies as predictors of binge eating in the natural environment.

Int J Eat Disord. 2020-2-21

[7]
Examination of momentary maintenance factors and eating disorder behaviors and cognitions using ecological momentary assessment.

Eat Disord. 2021

[8]
Relationships between eating disorder-specific and transdiagnostic risk factors for binge eating: An integrative moderated mediation model of emotion regulation, anticipatory reward, and expectancy.

Eat Behav. 2018-12

[9]
Feeling hangry? When hunger is conceptualized as emotion.

Emotion. 2018-6-11

[10]
A test of a state-based, self-control theory of binge eating in adults with obesity.

Eat Disord. 2018

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