Ecological Momentary Assessment of Eating Episodes in Obese Adults
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OBJECTIVE: The context of eating episodes in obesity is poorly understood. This study examined emotional, physiological, and environmental correlates of pathological and nonpathological eating episodes in a heterogeneous sample of obese adults. METHODS: Community-based participants (n = 50; 84% female [n = 42]; mean [standard deviation] body mass index = 40.3 [8.5]; mean [standard deviation] age = 43.0 [11.9]) recorded all eating episodes and their emotional, physiological, and environmental correlates via ecological momentary assessment for 2 weeks. Generalized estimating equations examined relations between these variables and eating episodes characterized by both self-identified loss of control (LOC) while eating and overeating (binge eating; BE), LOC only, overeating only (OE), and neither LOC nor OE (nonpathological eating). RESULTS: Episodes involving loss of control (BE and LOC) were associated with heightened preepisode and postepisode negative effects (Wald χ range, 15.67-24.39; p values < .001), whereas those involving overeating (BE and OE) were associated with the lowest preepisode and postepisode hunger (Wald χ range, 18.14-39.75; p values <.001). LOC episodes were followed by heightened postepisode cravings (Wald χ = 25.87; p < .001) and were most likely to occur when participants were alone (Wald χ = 13.20; p = .004). CONCLUSION: BE and LOC eating were more consistently associated with emotional and physiological cues than OE and nonpathological eating, whereas most environmental variables did not differ among eating episode types. Results support distinctions among the different constructs characterizing aberrant eating and may be used to inform interventions for obesity and related eating pathology.
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Reduced emotion regulation abilities are common in adults with EDs, but little is known about similar difficulties in youth with LOC.
“Reduced emotion regulation abilities are common in adults with EDs, but little is known about similar difficulties in youth with LOC [30, 31].”
From Correlates of interpersonal emotion regulation problems in Loss of Control eating (LOC) in youth: study protocol of the combined online and App based questionnaire, laboratory and randomized controlled online intervention i-BEAT trial (2021) · cites this paper as [30]
The Results (Emotional Context; page unavailable) link binge and loss-of-control eating in obese adults to higher negative affect, and the Discussion says prior studies relate negative affect to loss-of-control eating in people with eating disorders. Negative affect is not a measure of emotion-regulation ability, however, and the paper does not establish that reduced abilities are common in adults with eating disorders or that little is known about them in youth with LOC. (LLM, conf=0.76)
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Self-citation
- Authors
- Goldschmidt, A. B., Crosby, R. D., Cao, L., Engel, S. G., Durkin, N., Beach, H. M., Berg, K. C., Wonderlich, S. A., Crow, S. J., & Peterson, C. B.
- Affiliations
- University of North Dakota (US)
- University of Minnesota (US)
- Medtronic (United States) (US)
- Corresponding author
- Goldschmidt, Andrea B.
- ORCID
- Venue
- Psychosomatic Medicine
- Published
- 2014-11
- Volume
- 76
- Issue
- 9
- Pages
- 747-752
- ISSN
- 0033-3174 (ISSN-L)
- PMC
- PMC4530605
- OpenAlex
- W2313869039
- Cited by
- 77
- References
- 39
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 8 · 2023: 5 · 2022: 5 · 2021: 9 · 2020: 9 · 2019: 3 · 2018: 8 · 2017: 9 · 2016: 8 · 2015: 3
- FWCI
- 7.87
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (P30 DK 50456, P30DK050456)
- National Center for Research Resources (KL2RR025000)
- 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 › Mental Health Research Topics
- Keywords
- eating episodes, obesity, binge eating, loss of control eating, overeating, emotional eating, food cravings, hunger, eating context, environmental cues, eating pathology
- MeSH terms
- Adult, Bulimia, Feeding Behavior, Female, Humans, Male, Middle Aged, Obesity, Body Mass Index
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