Behavioral evidence of emotion dysregulation in binge eaters
Abstract
Binge eating is the most common disordered eating symptom and can lead to the development of obesity. Previous self-report research has supported the hypothesis that individuals who binge eat report greater levels of general emotion dysregulation, which may facilitate binge-eating behavior. However, to date, no study has experimentally tested the relation between binge eating history and in-vivo emotion dysregulation. To do this, a sample of female college students who either endorsed binge eating (n = 40) or denied the presence of any eating pathology (n = 47) completed the Difficulties with Emotion Regulation Scale (DERS) and a behavioral distress tolerance task (the Paced Auditory Serial Addition Task-Computer: PASAT-C) known to induce negative affect and distress. The binge eating group was 2.96 times more likely to quit the PASAT-C early (χ 2 = 5.04, p = 0.025) and reported greater irritability (F(1,84) = 7.09 p = 0.009) and frustration (F(1,84) = 5.00, p = 0.028) after completing the PASAT-C than controls, controlling for initial levels of these emotions. Furthermore, across the entire sample, quitting early was associated with greater emotion dysregulation on the DERS (r pb = 0.342, p < 0.01). This study is the first to demonstrate that individuals who binge eat show in-vivo emotional dysregulation on a laboratory task. Future studies should examine the PASAT-C to determine its potential clinical utility for individuals with or at risk of developing binge eating.
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Several studies have demonstrated the expected negative association between DT and DEB.
“While several studies have demonstrated the expected negative association between DT and DEB (Anestis et al., 2007(Anestis et al., , 2012b;;Eichen et al., 2017), others have not been able to replicate this relationship (Kelly et al., 2014;Yiu et al., 2018).”
From Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis (2022) · cites this paper as Eichen et al., 2017
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A review of binge eating disorder and obesity
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Self-citation
- Authors
- Eichen, D. M., Chen, E., Boutelle, K. N., & McCloskey, M. S.
- Affiliations
- Temple University (US)
- University of California San Diego (US)
- Corresponding author
- Eichen, Dawn M.
- Venue
- Appetite
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 111
- Pages
- 1-6
- ISSN
- 0195-6663 (ISSN-L)
- OpenAlex
- W2565175956
- Cited by
- 53
- References
- 48
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 8 · 2023: 8 · 2022: 7 · 2021: 4 · 2020: 6 · 2019: 7 · 2018: 7 · 2017: 3
- FWCI
- 7.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Appetite (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- binge eating, emotional dysregulation, distress tolerance, Paced Auditory Serial Addition Test, negative affect, irritability, frustration, disordered eating, female university students
- MeSH terms
- Adolescent, Adult, Bulimia, Eating, Emotions, Feeding Behavior, Female, Humans, Students, Task Performance and Analysis, Young Adult
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