Eating behavior, non-food substance consumption and negative urgency in women.

Jônatas De Oliveira,Táki Athanássios Cordás

doi:10.31744/einstein_journal/2020ao5269

Abstract

ABSTRACTObjective To evaluate aspects of eating behavior, presence of non-food substance consumption and negative urgency in women from an on-line support group for eating disorders.Methods Participants (n=147) completed questionnaires for binge eating assessment, Intuitive Eating, negative urgency, cognitive restraint and a question of non-food substance consumption. Participants were separated according to criteria for bulimic symptoms and compulsive symptoms.Results The consumption of non-food substances was 4.8% (n=7). The Bulimic Group (n=61) showed higher values for binge eating (p=0.01), cognitive restraint (p=0.01) and negative urgency (p=0.01) compared with the Compulsive Group (n=86). Only the Compulsive Group showed an inverse correlation between scores for binge eating and Intuitive Eating (p=0.01). In both groups, binge eating was inversely correlated with the subscale of body-food choice congruence of Intuitive Eating scale. As expected, the Bulimic Group reached higher values for measures of disordered behaviors such as cognitive restraint and binge eating, and lower scores for Intuitive Eating.Conclusion The aspects of Intuitive Eating are inversely associated with compulsive and bulimic symptoms and the correlation analyses for binge eating and negative urgency agreed with models reported in published literature about negative urgency.

Highlights

IntroductionEating behaviors and emotional regulation are severely altered by eating disorders (ED).(1) Cases of binge eating disorders (BED) and bulimia nervosa (BN) are marked by changes in forms on how to deal with emotions, in addition to restrictive strategies for weight control that can increase enviroment vulnerability, and contribute to episodes of binge eating.[2]
Eating behaviors and emotional regulation are severely altered by eating disorders (ED).(1) Cases of binge eating disorders (BED) and bulimia nervosa (BN) are marked by changes in forms on how to deal with emotions, in addition to restrictive strategies for weight control that can increase enviroment vulnerability, and contribute to episodes of binge eating.[2]. Personality aspects contribute to episodes that can predict the occurrence of eating compulsions,(1) due to negative urgency which has been related with severity of these behaviors and response to treatment.[3]. In the beginning of treatment patients with BED and high levels of negative urgency had lower benefit,(3) in addition the reduction of negative urgency is associated with recovery of ED.[4]
Criteria for group identification with compulsive symptoms and group with bulimia symptoms According to DSM-5,(5) we considered as criteria for bulimic symptoms the score >17 in Binge Eating Scale (BES) characterizing the presence of binge eating[9] and presence of purgation with frequency of, at least, once per week in the last 3 months, according to Hay’s questionnaire

Summary

Introduction

Eating behaviors and emotional regulation are severely altered by eating disorders (ED).(1) Cases of binge eating disorders (BED) and bulimia nervosa (BN) are marked by changes in forms on how to deal with emotions, in addition to restrictive strategies for weight control that can increase enviroment vulnerability, and contribute to episodes of binge eating.[2]. Bryant-Waugh et al, published preliminary results of a new instrument for Pica,(6) and, recently, findings have shown prevalence of diagnosis of Pica associated with ED in 1.3% (n=2 of 149) of patients, in addition to the consumption of non-food substances (plastic and gum) in outpatients who did not attend all criteria for Pica.[7]

Methods

Results

Discussion

Conclusion