Course and moderators of emotional eating in anorectic and bulimic patients: A follow-up study |
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| Institution: | 1. Department of Health Sciences, Section of Psychology and Psychiatry, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy;2. Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy;1. Department of Health Sciences, Section of Psychology and Psychiatry, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy;2. Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy;1. Department of Physical Education, Laval University, 2300 rue de la Terrasse, Quebec, QC G1V 0A6, Canada;2. Quebec Heart and Lung Research Institute, Laval Hospital, 2725 Chemin Ste-Foy, Quebec, QC G1V 4G5, Canada;3. Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, 3535 Market St, Philadelphia, PA 19104–3309, USA;4. Department of Kinesiology, Laval University, 2300 rue de la Terrasse, Quebec, QC G1V 0A6, Canada;5. Centre Hospitalier Universitaire (CHU) Ste-Justine, 3175 Chemin de la Côte-Sainte-Catherine, Montreal, QC H3T 1C5, Canada;6. Department Kinesiology, Université de Montréal, 2100 boul Édouard-Montpetit, Montreal, QC H3C 3J7, Canada;7. Department of Psychology, University of Missouri-Kansas City, 5030 Cherry Street, Kansas City, MO 64110, USA;1. Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States;2. Department of Behavioral Sciences, Bellarmine University, Louisville, KY, United States |
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| 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. |
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