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Mindful Attention and Eating Expectancies among College Students with Obesity and a History of Trauma Exposure

Abstract

Objectives

Trauma exposure and obesity are highly prevalent among college students and both are associated with disordered eating. There is a need to understand psychological factors that may be related to maladaptive eating behavior among college students with obesity and a history of trauma exposure.

Methods

Participants included 139 college students with obesity (defined as a BMI ≥ 30) and a history of trauma exposure (76.3% females; Mage = 25.4 years, SD = 8.07). The current study conducted three separate two-step hierarchical regressions examining mindful attention and its relation to eating expectancies (expectancies of eating to help manage negative affect, expectancies of eating to alleviate boredom, and expectancies of eating to lead to feeling out of control).

Results

Results indicated that lower levels of mindful attention were related to greater levels of expectancies of eating to help manage negative affect (b = − 4.16, SE = 1.08, p = .023, CI95% = − 7.72, − 0.60, sr2 = .04), expectancies of eating to alleviate boredom (b = − 1.09, SE = 0.39, p = .006, CI95% = − 1.86, − 0.32, sr2 = .06), and expectancies of eating to lead to feeling out of control (b = − 1.62, SE = 0.40, p < .001, CI95% = − 2.41, − 0.83, sr2 = .11). Results were observed over, and above variance accounted for by sex (assigned at birth), body mass index (BMI), and posttraumatic stress disorder (PTSD) symptom severity.

Conclusions

Overall, the results from the present investigation suggest the potential importance and need for future research in the role of mindful attention in relation to several distinct eating expectancies associated with maladaptive eating.

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References

  1. American College Health Association. (2013). National college health assessment II: Reference group executive summary fall 2012. Author.

  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR.

  3. Arditte Hall, K. A., Bartlett, B. A., Iverson, K. M., & Mitchell, K. S. (2018). Eating disorder symptoms in female veterans: the role of childhood, adult, and military trauma exposure. Psychological Trauma Theory Research Practice and Policy, 10(3), 345-351. doi.org/https://doi.org/10.1037/tra0000301

  4. Avila, C., Holloway, A. C., Hahn, M. K., Morrison, K. M., Restivo, M., Anglin, R., & Taylor, V. H. (2015). An overview of links between obesity and mental health. Current Obesity Reports, 4(3), 303–310. https://doi.org/10.1007/s13679-015-0164-9.

    Article  PubMed  Google Scholar 

  5. Baer, R. A., Fischer, S., & Huss, D. B. (2005). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 23(4), 281–300. https://doi.org/10.1007/s10942-005-0015-9.

    Article  Google Scholar 

  6. Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45. doi.org/https://doi.org/10.1177/1073191105283504

  7. Bahl, S., Milne, G., Ross, S., & Chan, K. (2013). Mindfulness a long-term solution for mindless eating by college students. Journal of Public Policy & Marketing, 32(2), 173-184. doi.org/https://doi.org/10.1509/jppm.11.008

  8. Bennett, J., Greene, G., & Schwartz-Barcott, D. (2013). Perceptions of emotional eating behavior. A qualitative study of college students. Appetite, 60, 187–192. https://doi.org/10.1016/j.appet.2012.09.023.

    Article  PubMed  Google Scholar 

  9. Boggiano, M. M., Burgess, E. E., Turan, B., Soleymani, T., Daniel, S., Vinson, L. D., Lokken, K. L., Wingo, B. C., & Morse, A. (2014). Motives for eating tasty foods associated with binge-eating. Results from a student and a weight-loss seeking population. Appetite, 83,160-166. doi.org/https://doi.org/10.1016/j.appet.2014.08.026

  10. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822-848. doi.org/https://doi.org/10.1037/0022-3514.84.4.822

  11. Butler, S. M., Black, D. R., Blue, C. L., & Gretebeck, R. J. (2004). Change in diet, physical activity, and body weight in female college freshman. American Journal of Health Behavior, 28(1), 24–32.

    Article  Google Scholar 

  12. Chwastiak, L. A., Rosenheck, R. A., & Kazis, L. E. (2011). Association of psychiatric illness and obesity, physical inactivity, and smoking among a national sample of veterans. Psychosomatics, 52(3), 230-236. doi.org/https://doi.org/10.1016/j.psym.2010.12.009

  13. Coffey, K. A., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review, 13(2), 79-91. doi.org/https://doi.org/10.1177/1533210108316307

  14. da Luz, F. Q., Hay, P., Touyz, S., & Sainsbury, A. (2018). Obesity with comorbid eating disorders: associated health risks and treatment approaches. Nutrients, 10(7), 829. doi.org/https://doi.org/10.3390/nu10070829

  15. Daubenmier, J., Kristeller, J., Hecht, F. M., Maninger, N., Kuwata, M., Jhaveri, K., Lustig, R. H., Kemeny, M., Karan, L., & Epel, E. (2011). Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study. Journal of Obesity, 2011, 651936. doi.org/https://doi.org/10.1155/2011/651936

  16. Dietz, W. H. (2017). Obesity and excessive weight gain in young adults: new targets for prevention. Journal of the American Medical Association, 318(3), 241-242. doi.org/https://doi.org/10.1001/jama.2017.6119

  17. Dubosc, A., Capitaine, M., Franko, D. L., Bui, E., Brunet, A., Chabrol, H. F., & Rodgers, R. (2012). Early adult sexual assault and disordered eating: the mediating role of posttraumatic stress symptoms. Journal of Traumatic Stress, 25(1), 50–56. https://doi.org/10.1002/jts.21664.

    Article  PubMed  Google Scholar 

  18. Edman, J. L., Watson, S. B., & Patron, D. J. (2016). Trauma and psychological distress among ethnically diverse community college students. Community College Journal of Research and Practice, 40(4), 335-342. doi.org/https://doi.org/10.1080/10668926.2015.1065211

  19. Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. The American Journal of Orthopsychiatry, 77(4), 534-542. doi.org/https://doi.org/10.1037/0002-9432.77.4.534

  20. Eisenberg, D., Nicklett, E. J., Roeder, K., & Kirz, N. E. (2011). Eating disorder symptoms among college students: prevalence, persistence, correlates, and treatment-seeking. Journal of American College Health, 59(8), 700-707. doi.org/https://doi.org/10.1080/07448481.2010.546461

  21. Fischer, S., Smith, G. T., Anderson, K. G., & Flory, K. (2003). Expectancy influences the operation of personality on behavior. Psychology of Addictive Behaviors, 17(2), 108–114.

    Article  Google Scholar 

  22. Foa, E. B. (1995). Posttraumatic stress diagnostic scale (PDS). Minneapolis: National Computer Systems.

  23. Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: the Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445–451.

    Article  Google Scholar 

  24. Frazier, P., Anders, S., Perera, S., Tennen, H., Tashiro, T., Park, C., & Tomich, P. (2009). Traumatic events among undergraduate students: prevalence and associated symptoms. Journal of Counseling Psychology, 56(3), 450-460. doi.org/https://doi.org/10.1037/a0016412

  25. Godsey, J. (2013). The role of mindfulness based interventions in the treatment of obesity and eating disorders: an integrative review. Complementary Therapies in Medicine, 21(4), 430-439. doi.org/https://doi.org/10.1016/j.ctim.2013.06.003

  26. Goossens, L., Braet, C., Van Vlierberghe, L., & Mels, S. (2009). Loss of control over eating in overweight youngsters: the role of anxiety, depression and emotional eating. European Eating Disorders Review, 17(1), 68-78. doi.org/https://doi.org/10.1002/erv.892

  27. Gunstad, J., Paul, R. H., Spitznagel, M. B., Cohen, R. A., Williams, L. M., Kohn, M., & Gordon, E. (2006). Exposure to early life trauma is associated with adult obesity. Psychiatry Research, 142(1), 31-37. doi.org/https://doi.org/10.1016/j.psychres.2005.11.007

  28. Hayaki, J., & Free, S. (2016). Positive and negative eating expectancies in disordered eating among women and men. Eating Behaviors, 22, 22-26. doi.org/https://doi.org/10.1016/j.eatbeh.2016.03.025

  29. Hennegan, J. M., Loxton, N. J., & Mattar, A. (2013). Great expectations. Eating expectancies as mediators of reinforcement sensitivity and eating. Appetite, 71, 81-88. doi.org/https://doi.org/10.1016/j.appet.2013.07.013

  30. Hicks White, A. A., Pratt, K. J., & Cottrill, C. (2018). The relationship between trauma and weight status among adolescents in eating disorder treatment. Appetite, 129, 62-69. doi.org/https://doi.org/10.1016/j.appet.2018.06.034

  31. Hoerster, K. D., Jakupcak, M., Hanson, R., McFall, M., Reiber, G., Hall, K. S., & Nelson, K. M. (2015). PTSD and depression symptoms are associated with binge eating among US Iraq and Afghanistan veterans. Eating Behaviors, 17, 115-118. doi.org/https://doi.org/10.1016/j.eatbeh.2015.01.005

  32. Hohlstein, L. A., Smith, G. T., & Atlas, J. G. (1998). An application of expectancy theory to eating disorders: development and validation of measures of eating and dieting expectancies. Psychological Assessment, 10(1), 49-58. doi.org/https://doi.org/10.1037/1040-3590.10.1.49

  33. Hunt, T. K., Forbush, K. T., Hagan, K. E., & Chapa, D. A. N. (2017). Do emotion regulation difficulties when upset influence the association between dietary restraint and weight gain among college students? Appetite, 114, 101-109. doi.org/https://doi.org/10.1016/j.appet.2017.03.029

  34. Johannessen, K. B., & Berntsen, D. (2013). Losing the symptoms: weight loss and decrease in posttraumatic stress disorder symptoms Journal of Clinical Psychology, 69(6), 655-660. doi.org/https://doi.org/10.1002/jclp.21962

  35. Jordan, C. H., Wang, W., Donatoni, L., & Meier, B. P. (2014). Mindful eating: Trait and state mindfulness predict healthier eating behavior. Personality and Individual Differences, 68, 107-111. doi.org/https://doi.org/10.1016/j.paid.2014.04.013

  36. Kelly-Weeder, S. (2011). Binge drinking and disordered eating in college students. Journal of the American Academy of Nurse Practitioners, 23(1), 33-41. doi.org/https://doi.org/10.1111/j.1745-7599.2010.00568.x

  37. Kristeller, J. L., & Wolever, R. Q. (2011). Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eating Disorders, 19(1), 49-61. doi.org/https://doi.org/10.1080/10640266.2011.533605

  38. Morris, M. C., & Rao, U. (2013). Psychobiology of PTSD in the acute aftermath of trauma: Integrating research on coping, HPA function and sympathetic nervous system activity. Asian Journal of Psychiatry, 6(1), 3-21. doi.org/https://doi.org/10.1016/j.ajp.2012.07.012

  39. Nevell, L., Zhang, K., Aiello, A. E., Koenen, K., Galea, S., Soliven, R., Zhang, C., Wildman, D. E., & Uddin, M. (2014). Elevated systemic expression of ER stress related genes is associated with stress-related mental disorders in the Detroit neighborhood health study. Psychoneuroendocrinology, 43, 62-70. doi.org/https://doi.org/10.1016/j.psyneuen.2014.01.013

  40. Nightingale, B. A., & Cassin, S. E. (2019). Disordered eating among individuals with excess weight: a review of recent research. Current Obesity Reports, 8(2), 112-127. doi.org/https://doi.org/10.1007/s13679-019-00333-5

  41. Ouwens, M. A., Schiffer, A. A., Visser, L. I., Raeijmaekers, N. J. C., & Nyklíček, I. (2015). Mindfulness and eating behaviour styles in morbidly obese males and females. Appetite, 87, 62-67. doi.org/https://doi.org/10.1016/j.appet.2014.11.030

  42. Pelletier, J. E., Lytle, L. A., & Laska, M. N. (2015). Stress, health risk behaviors, and weight status among community college students. Health Education & Behavior, 43(2), 139-144. doi.org/https://doi.org/10.1177/1090198115598983

  43. Sah, R., & Geracioti, T. D. (2013). Neuropeptide Y and posttraumatic stress disorder. Molecular Psychiatry, 18(6), 646-655. doi.org/https://doi.org/10.1038/mp.2012.101

  44. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). The Guilford Press.

  45. Shapiro, D. N., Chandler, J., & Mueller, P. A. (2013). Using Mechanical Turk to study clinical populations. Clinical Psychological Science, 1(2), 213-220. doi.org/https://doi.org/10.1177/2167702612469015

  46. Simmons, J. R., Smith, G. T., & Hill, K. K. (2002). Validation of eating and dieting expectancy measures in two adolescent samples. International Journal of Eating Disorders, 31(4), 461-473. doi.org/https://doi.org/10.1002/eat.10034

  47. Smith, G. T., Simmons, J. R., Flory, K., Annus, A. M., & Hill, K. K. (2007). Thinness and eating expectancies predict subsequent binge-eating and purging behavior among adolescent girls. Journal of Abnormal Psychology, 116(1), 188-197. doi.org/https://doi.org/10.1037/0021-843x.116.1.188

  48. Smith-Jackson, T., & Reel, J. (2012). Freshmen women and the “Freshman 15”: perspectives on prevalence and causes of college weight gain. Journal of American College Health, 60(1), 14–20.

    Article  Google Scholar 

  49. Striegel-Moore, R. H., Rosselli, F., Perrin, N., DeBar, L., Wilson, G. T., May, A., & Kraemer, H. C. (2009). Gender difference in the prevalence of eating disorder symptoms. International Journal of Eating Disorders, 42(5), 471-474. doi.org/https://doi.org/10.1002/eat.20625

  50. Sung, H., Siegel, R. L., Rosenberg, P. S., & Jemal, A. (2019). Emerging cancer trends among young adults in the USA: analysis of a population-based cancer registry. The Lancet Public Health, 4(3), e137-e147. doi.org/https://doi.org/10.1016/s2468-2667(18)30267-6

  51. Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53-55. doi.org/https://doi.org/10.5116/ijme.4dfb.8dfd

  52. Trottier, K., & MacDonald, D. E. (2017). Update on psychological trauma, other severe adverse experiences and eating disorders: state of the research and future research directions. Current Psychiatry Reports, 19(8), 45. doi.org/https://doi.org/10.1007/s11920-017-0806-6

  53. Ufuk, B., Zekiye, Ç., & Sedat, B. (2018). Association of mindfulness and impulsivity with obesity. Archives of Clinical. Psychiatry, 45(5), 130–134. https://doi.org/10.1590/0101-60830000000173.

    Article  Google Scholar 

  54. United States Department of Health and Human Services. (2020). What are overweight and obesity? https://www.nhlbi.nih.gov/health-topics/overweight-and-obesity

  55. Viana, A. G., Paulus, D. J., Garza, M., Lemaire, C., Bakhshaie, J., Cardoso, J. B., Ochoa-Perez, M., Valdivieso, J., & Zvolensky, M. J. (2017). Rumination and PTSD symptoms among trauma-exposed Latinos in primary care: is mindful attention helpful? Psychiatry Research, 258, 244-249. doi.org/https://doi.org/10.1016/j.psychres.2017.08.042

  56. Williamson, D. F., Thompson, T. J., Anda, R. F., Dietz, W. H., & Felitti, V. (2002). Body weight and obesity in adults and self-reported abuse in childhood. International Journal of Obesity and Related Metabolic Disorders, 26(8), 1075-1082. doi.org/https://doi.org/10.1038/sj.ijo.0802038

  57. World Health Organization. (2020 16). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

  58. Zhang, L., Hu, X. Z., Benedek, D. M., Fullerton, C. S., Forsten, R. D., Naifeh, J. A., Li, X., Li, H., Benevides, K. N., Smerin, S., Le, T., Choi, K., & Ursano, R. J. (2014). The interaction between stressful life events and leukocyte telomere length is associated with PTSD. Molecular Psychiatry, 19(8), 855-856. doi.org/https://doi.org/10.1038/mp.2013.141

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Funding

This work was funded by a pre-doctoral National Research Service Award awarded to Ms. Brooke Kauffman (F31-DA046127).

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BK formulated the hypothesis, conducted the data analysis, and wrote the manuscript with assistance from other authors. AV collaborated in the writing and editing of the final manuscript. JB designed and executed the study and collaborated in the writing and editing of the final manuscript. MZ assisted in design and execution of the study and formulating hypothesis, collaborated in the writing, and editing of the final manuscript.

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Correspondence to Michael J. Zvolensky.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the University of Houston Institutional Review Board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. No animals were employed in this research

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Informed consent was obtained from all individual participants included in the study.

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Kauffman, B.Y., Vujanovic, A.A., Bakhshaie, J. et al. Mindful Attention and Eating Expectancies among College Students with Obesity and a History of Trauma Exposure. Mindfulness 11, 2113–2120 (2020). https://doi.org/10.1007/s12671-020-01419-1

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Keywords

  • Mindfulness
  • Eating expectancies
  • Obesity
  • Trauma
  • Young adults