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Course and moderators of emotional eating in anorectic and bulimic patients: a follow-up study.
Eat Behav. 2014 Apr; 15(2):192-6.EB

Abstract

Emotion dysregulation has been found to be associated with specific eating attitudes and behavior in Eating Disorder (ED) patients. The present study evaluated whether emotional eating profile of ED patients changes over time and the possible effects of a psychotherapeutic intervention on the emotional eating dimension. One hundred and two ED patients (28 with Anorexia Nervosa restricting type [AN-R], 35 with Anorexia Nervosa binge/purging subtype [AN-B/P] and 39 with Bulimia Nervosa [BN]) were evaluated at baseline, at the end of a Cognitive Behavioral Therapy, at 3 and 6 year follow-up. The Structured Clinical Interview for DSM IV Axis I Disorders, the Emotional Eating Scale (EES) and several self-reported questionnaires for eating specific and general psychopathology were applied. A control group of 86 healthy subjects was also studied, in order to compare psychopathological variables at baseline. A significant EES total score reduction was observed among AN-B/P and BN patients, whereas no significant change was found in the AN-R group. Mixed Models analyses showed that a significant effect on EES total score variation was found for cocaine or amphetamine abuse (b = .25; p < .01). Patients who assumed these substances reported no significant EES reduction across time, unlike other patients. The present results suggest that ED patients with a history of cocaine or amphetamine abuse represent a sub-population of patients with lasting dysfunctional mood modulatory mechanisms.

Authors+Show Affiliations

Department of Health Sciences, Section of Psychology and Psychiatry, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy.Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.Department of Health Sciences, Section of Psychology and Psychiatry, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy.Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.Department of Health Sciences, Section of Psychology and Psychiatry, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy.Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy. Electronic address: valdo.ricca@unifi.it.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24854803

Citation

Fioravanti, Giulia, et al. "Course and Moderators of Emotional Eating in Anorectic and Bulimic Patients: a Follow-up Study." Eating Behaviors, vol. 15, no. 2, 2014, pp. 192-6.
Fioravanti G, Castellini G, Lo Sauro C, et al. Course and moderators of emotional eating in anorectic and bulimic patients: a follow-up study. Eat Behav. 2014;15(2):192-6.
Fioravanti, G., Castellini, G., Lo Sauro, C., Ianni, S., Montanelli, L., Rotella, F., Faravelli, C., & Ricca, V. (2014). Course and moderators of emotional eating in anorectic and bulimic patients: a follow-up study. Eating Behaviors, 15(2), 192-6. https://doi.org/10.1016/j.eatbeh.2014.01.006
Fioravanti G, et al. Course and Moderators of Emotional Eating in Anorectic and Bulimic Patients: a Follow-up Study. Eat Behav. 2014;15(2):192-6. PubMed PMID: 24854803.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Course and moderators of emotional eating in anorectic and bulimic patients: a follow-up study. AU - Fioravanti,Giulia, AU - Castellini,Giovanni, AU - Lo Sauro,Carolina, AU - Ianni,Sirio, AU - Montanelli,Luca, AU - Rotella,Francesco, AU - Faravelli,Carlo, AU - Ricca,Valdo, Y1 - 2014/02/01/ PY - 2013/09/09/received PY - 2013/12/10/revised PY - 2014/01/22/accepted PY - 2014/5/24/entrez PY - 2014/5/24/pubmed PY - 2014/8/26/medline KW - Amphetamine abuse KW - Cocaine abuse KW - Eating Disorders KW - Emotional eating KW - Follow-up study SP - 192 EP - 6 JF - Eating behaviors JO - Eat Behav VL - 15 IS - 2 N2 - Emotion dysregulation has been found to be associated with specific eating attitudes and behavior in Eating Disorder (ED) patients. The present study evaluated whether emotional eating profile of ED patients changes over time and the possible effects of a psychotherapeutic intervention on the emotional eating dimension. One hundred and two ED patients (28 with Anorexia Nervosa restricting type [AN-R], 35 with Anorexia Nervosa binge/purging subtype [AN-B/P] and 39 with Bulimia Nervosa [BN]) were evaluated at baseline, at the end of a Cognitive Behavioral Therapy, at 3 and 6 year follow-up. The Structured Clinical Interview for DSM IV Axis I Disorders, the Emotional Eating Scale (EES) and several self-reported questionnaires for eating specific and general psychopathology were applied. A control group of 86 healthy subjects was also studied, in order to compare psychopathological variables at baseline. A significant EES total score reduction was observed among AN-B/P and BN patients, whereas no significant change was found in the AN-R group. Mixed Models analyses showed that a significant effect on EES total score variation was found for cocaine or amphetamine abuse (b = .25; p < .01). Patients who assumed these substances reported no significant EES reduction across time, unlike other patients. The present results suggest that ED patients with a history of cocaine or amphetamine abuse represent a sub-population of patients with lasting dysfunctional mood modulatory mechanisms. SN - 1873-7358 UR - https://www.unboundmedicine.com/medline/citation/24854803/Course_and_moderators_of_emotional_eating_in_anorectic_and_bulimic_patients:_a_follow_up_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1471-0153(14)00020-8 DB - PRIME DP - Unbound Medicine ER -