Relationships between eating disorder-specific and transdiagnostic risk factors for binge eating: An integrative moderated mediation model of emotion regulation, anticipatory reward, and expectancy
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Although relationships between negative affect, emotion dysregulation, and binge eating have been well-established, the mechanisms and individual risk factors that account for this relationship have yet to be elucidated. In addition to emotion dysregulation, altered reward functioning and negative affect eating expectancies (i.e., the expectancy that eating will relieve negative affect) are factors that have been previously linked to binge eating, though theoretical frameworks have not provided an integrated conceptualization of relationships between these domains. Therefore, the present study examined an integrative moderated mediation model among a sample of 101 adults with self-reported eating disorder (ED) symptoms who completed a battery of online questionnaires. Results supported the hypothesized model, which demonstrated that eating expectancies mediated the relationship between emotion dysregulation and binge eating frequency, and there was a positive association between emotion dysregulation and eating expectancies among individuals high in anticipatory reward. These findings provide preliminary support for an integrated approach to understanding transdiagnostic and ED-specific risk factors that potentiate binge eating.
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Some individuals may develop particular eating expectancies in the face of poor emotion regulation and high anticipatory rewards.
“some individuals may develop particular eating expectancies in the face of poor emotion regulation and high anticipatory rewards [63].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [63]
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- Authors
- Smith, K. E., Mason, T. B., Peterson, C. B., & Pearson, C. M.
- Affiliations
- University of North Dakota (US)
- University of Southern California (US)
- University of Minnesota (US)
- Corresponding author
- Smith, Kathryn E.
- Venue
- Eating Behaviors
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 31
- Pages
- 131-136
- ISSN
- 1471-0153 (ISSN-L)
- PMC
- PMC6320675
- OpenAlex
- W2897360448
- Cited by
- 23
- References
- 44
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 3
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Eating Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (T32 MH082761)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- binge eating, eating disorder symptoms, emotional dysregulation, negative affect, eating expectancies, transdiagnostic risk factors, moderated mediation, emotion regulation, reward processing
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Bulimia, Emotions, Female, Humans, Male, Middle Aged, Models, Psychological, Surveys and Questionnaires, Reward, Risk Factors, Young Adult
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