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.
Eur Eat Disord Rev. 2023 Sep;31(5):717-723. doi: 10.1002/erv.2998. Epub 2023 Jun 19.
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.
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。
Eat Weight Disord. 2021-2
Eat Weight Disord. 2021-3
Psychol Addict Behav. 2024-8
Psychol Addict Behav. 2024-8
Front Psychiatry. 2022-2-18
Clin Psychol Psychother. 2020-9
Emotion. 2018-6-11