Cited by 37Personality Disorders and PsychopathologyEating Disorders and BehaviorsBipolar Disorder and Treatment

Mood instability contributes to impulsivity, non‐suicidal self‐injury, and binge eating/purging in people with anxiety disorders

Peters, Evyn M., Bowen, Rudy, Balbuena, Lloyd·2019·Psychology and Psychotherapy: Theory, Research and Practice

Abstract

Objectives The purpose of this study was to determine whether mood instability in people with anxiety disorders contributes to trait impulsivity, non-suicidal self-injury, and binge eating/purging. Methods Data were analysed from a general population sample of 7,221 adults (M age = 51.0 years; 56.9% female). Logistic regression analyses with effect decompositions were used to establish the associations of five anxiety disorders (generalized anxiety disorder, social phobia, panic disorder, agoraphobia, and obsessive-compulsive disorder) with impulsivity, non-suicidal self-injury, and binge eating/purging, and then to determine the extent that adding mood instability to each model reduced these relationships. Results Participants with an anxiety disorder were more likely to report impulsivity compared to participants without an anxiety disorder (ORs = 2.40-3.92, all p Conclusions Mood instability and impulsivity are common in people with anxiety disorders. Anxiety disorders are associated with impulsivity largely because of the association between mood instability and impulsivity. Mood instability may contribute to non-suicidal self-injury and binge eating/purging in people with anxiety disorders. Treatments for mood instability in addition to standard anxiety disorder treatment may reduce impulsivity, non-suicidal self-injury, and binge eating/purging in people with anxiety disorders. Practitioner points Many patients with anxiety disorders experience mood instability, which i…

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Crossref · 10.1111/papt.12192

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Authors
Peters, E. M., Bowen, R., & Balbuena, L.
Affiliations
University of Saskatchewan (CA)
Corresponding author
Peters, Evyn M.
Venue
Psychology and Psychotherapy: Theory, Research and Practice
Publisher
Wiley
Published
2018-07-12
Volume
92
Issue
3
Pages
422-438
ISSN
  • 1476-0835 (ISSN-L)
  • 2044-8341
OpenAlex
W2884972020
Cited by
37
References
60
Citations by year
2026: 5 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 8 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 1
FWCI
2.35
Type
journal article
Language
en
Open access
closed
Locations
  • Psychology and Psychotherapy Theory Research and Practice (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
mood instability, impulsivity, non-suicidal self-injury, binge eating, purging, anxiety disorders, generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, obsessive-compulsive disorder, comorbidities
MeSH terms
Adult, Affective Symptoms, Aged, Anxiety Disorders, Female, Humans, Impulsive Behavior, Male, Middle Aged, Comorbidity, Self-Injurious Behavior, Young Adult, Binge-Eating Disorder

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